Mental Health & Spiritual Wellness Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006811 Issued in NC

Legal business name

MENTAL HEALTH & SPIRITUAL WELLNESS THERAPEUTIC SERVICES

Practice address

213-D S Trade Street
Shelby, NC 28150-4866

Phone

(704) 231-9025

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tynecca Gail Lynch, PHD, LCSWNPI 1316262975

Title

Owner/ Psychotherapist

Phone

(704) 231-9025

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tynecca Gail Lynch, LCSW

  • Clinical Social Worker
  • Conover, NC
  • NPI 1316262975
  NPD (past) Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1417495474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213-D SOUTH TRADE STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504564",
            "telephone_number": "704-231-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213-D S TRADE STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504866",
            "telephone_number": "704-231-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH & SPIRITUAL WELLNESS THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "TYNECCA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER/ PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-231-9025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316262975",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medicine With Mercy and Grace
• Marissa Medina, PT, DPT
• Viral P. Mehta, MD
• Renee B. Melton-Smith, MD
• Jose Daniel Mena Pasquel, MD
• Gina Michelle Merritt, DO
• Victoria N Miley
• Donald Glenn Miller Jr., PT,DPT,MS,CSCS
• Donald S. Miller, M.D.
• Sara Jane Miller, DC

• Clinical Social Worker in Shelby, NC
• Providers in Shelby, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.