MRS. LYNNETTE ANN GORDON LPC LCAS CRC NPI 1558494757

NPI Information

NPI: 1558494757
Provider Name: MRS. LYNNETTE ANN GORDON, LPC, LCAS, CRC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
319 NORTH GRAHAM HOPEDALE ROAD
SUITE A
BURLINGTON, NC
ZIP 27217
Phone: (336) 513-4200
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MRS. Lynnette Ann Gordon, LPC, LCAS, CRC is a counselor in Burlington, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Lynnette Ann Gordon, LPC, LCAS, CRC NPI is 1558494757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

319 NORTH GRAHAM HOPEDALE ROAD
SUITE A
BURLINGTON, NC
ZIP 27217-992
Phone: (336) 513-4200
Fax: (336) 513-4449

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	987	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	4457	NORTH CAROLINA	No
3	101Y00000X	Counselor		4457	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4457	OTHER	NORTH CAROLINA	LIC PROFESS. COUNSELOR
2	61003110	MEDICAID	NORTH CAROLINA
3	987	OTHER	NORTH CAROLINA	LIC. CLIN. ADDICTION SPEC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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