MS. LYNDA CANNEZZARO PETERSON MSED. LP LCDC NBC NPI 1386270205

NPI Information

NPI: 1386270205
Provider Name: MS. LYNDA CANNEZZARO PETERSON, MSED., LP, LCDC, NBC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2822 MEADOW BROOK CT
LEAGUE CITY, TX
ZIP 77573
Phone: (954) 644-9521
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MS. Lynda Cannezzaro Peterson, MSED., LP, LCDC, NBC is a counselor in League City, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Lynda Cannezzaro Peterson, MSED., LP, LCDC, NBC NPI is 1386270205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2822 MEADOW BROOK CT
LEAGUE CITY, TX
ZIP 77573-344
Phone: (954) 644-9521

The enumeration date for this NPI number is 3/23/2020 and was last updated on 3/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13912	TEXAS	No
2	101Y00000X	Counselor		78008	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	13912	OTHER	TEXAS	TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
2	78008	OTHER	TEXAS	TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
3	833028	OTHER	TEXAS	NATIONAL BOARD CERTIFIED COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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