LYNN STEPHANIE JACKSON DORMAN LMHC NPI 1053959023

NPI Information

NPI: 1053959023
Provider Name: LYNN STEPHANIE JACKSON DORMAN, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1700 PARK ST N STE 110
ST PETERSBURG, FL
ZIP 33710
Phone: (813) 644-2747
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Lynn Stephanie Jackson Dorman, LMHC is a mental health counselor in St Petersburg, FL. Lynn Stephanie Jackson Dorman, LMHC NPI is 1053959023. 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:

1700 PARK ST N STE 110
ST PETERSBURG, FL
ZIP 33710-300
Phone: (813) 644-2747

The enumeration date for this NPI number is 12/20/2019 and was last updated on 12/20/2019.

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	MH17541	FLORIDA	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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