| Lynch Family Services Llc | |
|
333 W Main St Suite 260 Ardmore OK 73401-6326 | |
| (580) 224-2929 | |
| (866) 777-7906 |
| Full Name | Lynch Family Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 W Main St, Ardmore, Oklahoma |
| Authorized Official Name and Position | Kyle Lynch (OWNER) |
| Authorized Official Contact | 5802242929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynch Family Services Llc 333 W Main St Suite 260 Ardmore OK 73401-6326 Ph: (580) 224-2929 | Lynch Family Services Llc 333 W Main St Suite 260 Ardmore OK 73401-6326 Ph: (580) 224-2929 |
| NPI Number | 1568722379 |
|---|---|
| Provider Enumeration Date | 05/26/2012 |
| Last Update Date | 09/06/2012 |
| Medicare PECOS PAC ID | 0446584205 |
|---|---|
| Medicare Enrollment ID | O20190627001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568722379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Justin George Gibson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649734997 PECOS PAC ID: 9830554989 Enrollment ID: I20230425002729 |
| Provider Name | Brenda Kay Kinnison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841544863 PECOS PAC ID: 9537519335 Enrollment ID: I20231220000064 |
| Provider Name | Maria D Villar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285882902 PECOS PAC ID: 1456702448 Enrollment ID: I20240103003554 |
| Provider Name | Cristal S Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659933117 PECOS PAC ID: 5395197792 Enrollment ID: I20240122003175 |
| Provider Name | Stephanie June Barnett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700194263 PECOS PAC ID: 9133562168 Enrollment ID: I20240207000936 |
| Provider Name | Kayleigh Yeakley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255799524 PECOS PAC ID: 0446695829 Enrollment ID: I20240226000076 |
| Provider Name | Crystal Amanda Pitts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225678576 PECOS PAC ID: 9830537612 Enrollment ID: I20240401000057 |
| Provider Name | Juanita Pearl Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992260004 PECOS PAC ID: 4082054572 Enrollment ID: I20240501001568 |
| Provider Name | Jacqulyn Brooke Byers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164431649 PECOS PAC ID: 6305288515 Enrollment ID: I20240520002348 |
| Provider Name | Heather Ann Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013507052 PECOS PAC ID: 1759723349 Enrollment ID: I20240528003887 |
| Provider Name | Kristi Crutchfield Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619182912 PECOS PAC ID: 1557703972 Enrollment ID: I20240530001068 |
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