Organization Name: | LYNNE GALBALLY LLC |
NPI Number: | 1023362381 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH LYNNE LYNNE GALBALLY (OWNER) |
Mailing Address: | 1002 Anna Knapp Ext Suite 203 Mount Pleasant |
State: | SC US |
Postal Code: | 294645421 |
Phone Number: | 8434372845 |
Fax Number: | |
NPI Enumeration Date: | 11/07/2012 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |