Afonso Lynes, Lisa C

Afonso Lynes, Lisa C is an individual health care provider with primary practice located at 621 Dexter St , Central Falls RI 02863-2603. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Afonso Lynes, Lisa C can be contacted via phone (401) 721-9200.

Contact Information

Primary practice address
621 Dexter St Central Falls RI 02863-2603
Phone: (401) 721-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00418 Rhode Island

Profile Details

NPI number 1356449037
LBN Legal business name Afonso Lynes, Lisa C
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 10th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356449037 NPPES
Rhode Island Other 412296 EI BCHIP
Rhode Island Other 2092 EI BCHIP
Rhode Island Other 292177 EI BCHIP
Rhode Island MEDICAID ES01788 EI BCHIP
Rhode Island Other 6400144 EI BCHIP

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