Provider Demographics
NPI:1831475193
Name:GUERRA, LYNNETTE LUTHY (MS, LPC)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:LUTHY
Last Name:GUERRA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 HIDDEN SPRINGS PATH
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-5000
Mailing Address - Country:US
Mailing Address - Phone:713-806-1433
Mailing Address - Fax:
Practice Address - Street 1:1604 HIDDEN SPRINGS PATH
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-5000
Practice Address - Country:US
Practice Address - Phone:713-806-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YS0200X
TX64187101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool