| Lynncoy Thornburg, | |
|
204 Airport Rd, Vidalia, LA 71373-3449 | |
| (318) 323-1300 | |
| (318) 323-1400 |
| Full Name | Lynncoy Thornburg |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 204 Airport Rd, Vidalia, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033631148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lynncoy Thornburg, 204 Airport Rd, Vidalia, LA 71373-3449 Ph: (318) 323-1300 | Lynncoy Thornburg, 204 Airport Rd, Vidalia, LA 71373-3449 Ph: (318) 323-1300 |
Dominique Trimble, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 S Spruce St, Vidalia, LA 71373 Phone: 225-421-7183 | |
Kimberly Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Airport Rd, Vidalia, LA 71373 Phone: 318-323-1300 Fax: 318-323-1400 | |
Amber J Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Carter St, Vidalia, LA 71373 Phone: 313-414-3065 | |
Valerie Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Carter St, Suite 2, Vidalia, LA 71373 Phone: 318-414-3065 | |
Doris Jean Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Airport Rd, Vidalia, LA 71373 Phone: 318-323-1300 Fax: 318-323-1400 | |
Victoria Profit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 Carter St # B, Vidalia, LA 71373 Phone: 318-414-3065 |