Doctor Name: | FLORA LYNNE MARTIN |
NPI Number: | 1003872334 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1741 |
Business Practice Address: | 635 W College St Florence, AL - 356305313 |
Business Phone Number: | 2567643431 |
Business Fax Number: | 2567652036 |
Mailing Address: | 635 W College St, FLORENCE |
State: | AL |
Postal Code: | 356305313 |
Phone Number: | 2567643431 |
Fax Number: | 2567652036 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |