Doctor Name: | LYNNETTE INEZ PINA |
NPI Number: | 1588060719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | LAC-14452 |
Business Practice Address: | 40 E Mitchell Dr Suite 100 & 200 Phoenix, AZ - 850122330 |
Business Phone Number: | 6025995564 |
Business Fax Number: | 6022487993 |
Mailing Address: | 202 E Earll Dr, Suite 200 PHOENIX |
State: | AZ |
Postal Code: | 850122647 |
Phone Number: | 6025995404 |
Fax Number: | 6025995704 |
NPI Enumeration Date: | 11/17/2014 |
NPI Last Update Date: | 11/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LAC-14452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |