Provider Demographics
NPI:1841948940
Name:LYNN HAMLET LLC
Entity type:Organization
Organization Name:LYNN HAMLET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAMLET
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-828-6028
Mailing Address - Street 1:1205 CHARCA CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-7151
Mailing Address - Country:US
Mailing Address - Phone:757-828-6028
Mailing Address - Fax:
Practice Address - Street 1:2425 GEORGE MASON DR STE 102
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-3400
Practice Address - Country:US
Practice Address - Phone:757-828-6028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty