LYNZE VICKERS, LMFT, LLC (NPI# 1003261637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003261637 |
| Entity Type | Organization |
| Organization Name | LYNZE VICKERS, LMFT, LLC |
| Practice Address |
3350 Noble Way Suite B Valdosta GA 31605-7444 |
| Practice Telephone | 2293330300 |
| Mailing Telephone | 2293330300 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Authorized Official Name | LYNZE VICKERS (OWNER) |
| Authorized Official Telephone | 3344010595 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001430 | GA | Behavioral Health & Social Service Providers |
| Street Address |
3350 NOBLE WAY SUITE B |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-7444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1023638004 | Cartier Owens | Marriage & Family Therapist | 9 Spring Creek Cir, Valdosta, GA 31602-2278 | 2020-04-20 |
| 1720619844 | Michelle Catherine Brooten-brooks | Marriage & Family Therapist | 2704 N Oak St Bldg B3, Valdosta, GA 31602-1797 | 2020-01-28 |
| 1447774195 | Brianna Rae Brown | Marriage & Family Therapist | 907 Pine Cone Cir, Valdosta, GA 31602-1967 | 2017-08-02 |
| 1669870697 | Lifetime Counseling Service & Management Services | Marriage & Family Therapist | 2905 Bemiss Rd, Valdosta, GA 31602-7007 | 2014-12-08 |
| 1972930105 | Tamika Summers | Marriage & Family Therapist | 3120 N Oak St, Valdosta, GA 31602-1003 | 2013-10-02 |
| 1881035012 | Traci Nacole Ferris | Marriage & Family Therapist | 4133 Springruff Dr, Valdosta, GA 31602-7613 | 2013-07-16 |
| 1336484971 | Molly B Porter | Marriage & Family Therapist | 2908 Fawnwood Cir, Valdosta, GA 31602-4100 | 2012-12-09 |
| 1568707115 | Valerie Smith | Marriage & Family Therapist | 129 Sparrow Hawk Dr, Valdosta, GA 31602-6001 | 2012-12-09 |
| 1922243476 | Jenny Harris | Marriage & Family Therapist | 5239 Fortress Cir, Valdosta, GA 31605-6569 | 2008-12-12 |
| Find all providers in VALDOSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.