Lynette Virginia Farr, PH.D., LMFT

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

MFT000296 Issued in GA

Practice address

240 Corporate Center Dr
Suite D
Stockbridge, GA 30281-7214

Phone

(770) 507-4124

Fax

(770) 507-4124

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1023158466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CORPORATE CENTER DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817214",
            "telephone_number": "770-507-4124",
            "fax_number": "770-507-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CORPORATE CENTER DR",
            "address_2": "SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817214",
            "telephone_number": "770-507-4124",
            "fax_number": "770-507-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "LYNETTE",
        "middle_name": "VIRGINIA",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "GA",
            "license": "MFT000296",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "MFT000296",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "MFT000296",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT000296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family First Foundation
• Family Hospice South Atlanta LLC (Family Hospice)
• Temitope K Fapohunda, M.D.
• Aaliyah Nura Fardan-Alexander
• Jada S Farley
• Babak Fayyazi, NP
• Tasha Kynece Feaster, MD
• Aleksandr Fedovskiy, PAAA
• Thomas R Felcher, D.D.S.
• Whatley Battey Fenlon, PH.D.

• Adult Development & Aging Psychologist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Adult Development & Aging Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.