| Lynze Vickers, Lmft, Llc | |
|
3350 Noble Way Suite B Valdosta GA 31605-7444 | |
| (229) 333-0300 | |
| Not Available |
| Full Name | Lynze Vickers, Lmft, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3350 Noble Way, Valdosta, Georgia |
| Authorized Official Name and Position | Lynze Vickers (OWNER) |
| Authorized Official Contact | 3344010595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynze Vickers, Lmft, Llc 3350 Noble Way Suite B Valdosta GA 31605-7444 Ph: (229) 333-0300 | Lynze Vickers, Lmft, Llc 3350 Noble Way Suite B Valdosta GA 31605-7444 Ph: (229) 333-0300 |
| NPI Number | 1003261637 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003261637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001430 (Georgia) | Primary |
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