| Doctor Name: | MS. LYNN PORTER-COLLINS |
| NPI Number: | 1336278647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 04590 |
| Business Practice Address: | 650 Scarbourough Canyon Lake, TX - 781334529 |
| Business Phone Number: | 8309644390 |
| Business Fax Number: | 8309644391 |
| Mailing Address: | Po Box 1275, CANYON LAKE |
| State: | TX |
| Postal Code: | 781330001 |
| Phone Number: | 8309644390 |
| Fax Number: | 8309644391 |
| NPI Enumeration Date: | 03/04/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 04590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |