Provider Demographics
NPI:1023403813
Name:BRENNAN, LYNDA M (LMHC)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:M
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 N MILITARY TRL
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6500
Mailing Address - Country:US
Mailing Address - Phone:561-307-3553
Mailing Address - Fax:
Practice Address - Street 1:10800 N MILITARY TRL
Practice Address - Street 2:SUITE 107
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6500
Practice Address - Country:US
Practice Address - Phone:561-307-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health