# LYNZE VICKERS, LMFT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003261637
- **Authorized official:** LYNZE VICKERS LMFT (OWNER)
- **Authorized official phone:** (334) 401-0595

## Contact information

- **Practice address:** 3350 NOBLE WAY, SUITE B, VALDOSTA, GA 31605-7444
- **Practice address phone:** (229) 333-0300
- **Mailing address:** 3350 NOBLE WAY, SUITE B, VALDOSTA, GA 31605-7444
- **Mailing address phone:** (229) 333-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFT001430 | GA | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016