SANDRA MOENSSENS LYNCH (NPI# 1700037736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700037736 |
| Entity Type | Individual |
| Full Name | SANDRA MOENSSENS LYNCH |
| Other Name | SANDRA BIRKELBACH MOENSSENS |
| Credential | LMHC, LMFT |
| Practice Address |
17307 Pagonla Dr. Suite 100 Clermont FL 34711 |
| Mailing Address |
P.o. Box 917 Oakland FL 34760 |
| Practice Telephone | 3212300740 |
| Practice Fax Number | 3525778972 |
| Mailing Telephone | 3212300740 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH9675 | FL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MT2360 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1497062491 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689039323 | Sandra Lynch | Community Health Worker | 160 Antietam Rd, Delran, NJ 08075-2302 | 2015-12-23 |
| 1194045955 | Sandra Louise Lynch | Dietitian, Registered | 9305 Baltimore National Pike, Myersville, MD 21773-8143 | 2010-06-03 |
| 1578702932 | Sandra Grace Lynch | Registered Nurse | 3919 Fleetwood Dr, Amarillo, TX 79109-5649 | 2009-02-09 |
| 1215174313 | Sandra Jayne Lynch | Nurse Practitioner | 7102 Westwind Dr, El Paso, TX 79912-1726 | 2009-01-12 |
| 1679760441 | Sandra J Lynch | Clinical Nurse Specialist | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2007-09-26 |
| Street Address |
17307 PAGONLA DR. SUITE 100 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246835 | Audrey Simmons | Counselor | 1214 Bowman St, Clermont, FL 34711-3144 | 2020-08-17 |
| 1609330661 | Mary Hamilton | Counselor | 1635 E Hwy 50 Ste 209, Clermont, FL 34711-5034 | 2019-01-24 |
| 1992297667 | Rebecca Caskey | Counselor | 200 E Highland Ave Ste 3, Clermont, FL 34711-2582 | 2018-05-30 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1770099830 | Christel Janine Campoy Mamaril | Counselor | 4300 S Hwy 27 Ste 205b, Clermont, FL 34711-8067 | 2017-12-27 |
| 1639613151 | Ginnette Ayala | Counselor | 600 River Birch Ct Apt 522, Clermont, FL 34711-5142 | 2016-12-19 |
| 1932650785 | Grace Gonzalez | Counselor | 201 Hunt St, Apt 1622, Clermont, FL 34711-2484 | 2016-10-17 |
| 1376097451 | Shaleena Lott | Counselor | 1060 W Highway 50 Ste 212, Clermont, FL 34711-2835 | 2016-08-07 |
| 1811349533 | Marygrace Guffey | Counselor | 2530 Citrus Tower Blvd Apt 19105, Clermont, FL 34711-6987 | 2016-07-06 |
| 1174985923 | Andrea Dawson | Counselor | 1450 Blue Horizon Dr, Clermont, FL 34714-4981 | 2016-03-22 |
| Find all providers in CLERMONT | ||||
Please comment or provide details below to improve the information on SANDRA MOENSSENS LYNCH.
| 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.