Mr Ross Sutherland Lynde, M ED, LPC is a
Counselor - Professional based in Coinjock, North Carolina. Mr Ross Sutherland Lynde is licensed to practice in North Carolina (license number 4018) and his current practice location is
1359 Waterlily Rd, Coinjock, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 207-2523.
NPI number for Mr Ross Sutherland Lynde is 1861596306 and his current mailing address is 1359 Waterlily Rd, Coinjock, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861596306.
Healthcare Provider's Profile
| Full Name | Mr Ross Sutherland Lynde |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 1359 Waterlily Rd, Coinjock, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861596306
- Provider Enumeration Date: 09/12/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Ross Sutherland Lynde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861596306 | NPI | - | NPPES |
| 131UN | Other | NC | BCBS OF NC |
| 6102435 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 4018 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 4018 (North Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 4018 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ross Sutherland Lynde is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Ross Sutherland Lynde, M ED, LPC
1359 Waterlily Rd,
Coinjock, NC 27923-9740
Ph: (252) 207-2523 | Mr Ross Sutherland Lynde, M ED, LPC
1359 Waterlily Rd,
Coinjock, NC 27923-9740
Ph: (252) 207-2523 |
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