Active NPI
Lynn Etherapy, PLLC
- Mental Health Counselor
- Ft. Lauderdale, FL
National Provider Identifier
1457069205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LYNN ETHERAPY, PLLC
- Practice address
- 300 SE 2ND St
Suite 600
Ft. Lauderdale, FL 33301 - Phone
- (954) 281-2647
- NPI assigned
- Nov 10, 2022
- Organization subpart
- Yes
- Parent organization
- TAMYRA VILLINES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Genna Rich
- Title
- Admin
- Phone
- (813) 715-9802
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
300 SE 2ND St
Suite 600
Ft. Lauderdale, FL 33301
Mailing address
5079 N Dixie Hwy Ste 276
Oakland Park, FL 33334-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Info@lynnetherapypllc.com |
National Provider Directory
National Provider Directory- Part of
- Lynn Etherapy PLLC
Interoperability endpoints
- info@lynnetherapypllc.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668038400000",
"number": "1457069205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5079 N DIXIE HWY STE 276",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333344000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SE 2ND ST",
"address_2": "SUITE 600",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33301",
"telephone_number": "954-281-2647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNN ETHERAPY, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TAMYRA VILLINES",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "GENNA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "813-715-9802"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Info@lynnetherapypllc.com",
"affiliation": "N",
"address_1": "5079 N Dixie Hwy Ste 276",
"city": "Oakland Park",
"state": "FL",
"country_code": "US",
"postal_code": "333344000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ft. Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.