LYNN MARIE MORENO-BUCKMON MSED NCC LPC ELIGI NPI 1700469582

NPI Information

NPI: 1700469582
Provider Name: LYNN MARIE MORENO-BUCKMON, MSED, NCC, LPC ELIGI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2275 BRIDGE ST BLDG 5B-132
PHILADELPHIA, PA
ZIP 19137
Phone: (215) 772-0101
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Lynn Marie Moreno-buckmon, MSED, NCC, LPC ELIGI is a mental health counselor in Philadelphia, PA. Lynn Marie Moreno-buckmon, MSED, NCC, LPC ELIGI NPI is 1700469582. 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:

2275 BRIDGE ST BLDG 5B-132
PHILADELPHIA, PA
ZIP 19137-300
Phone: (215) 772-0101
Fax: (215) 772-0303

The enumeration date for this NPI number is 4/30/2021 and was last updated on 4/30/2021.

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	101YM0800X	Counselor	Mental Health	2335808	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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