Provider Demographics
NPI:1871778696
Name:MONK, LYNNETTE ELAINE (MA, MFT)
Entity type:Individual
Prefix:
First Name:LYNNETTE
Middle Name:ELAINE
Last Name:MONK
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 SPENCER ST STE B44
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5289
Mailing Address - Country:US
Mailing Address - Phone:702-547-9890
Mailing Address - Fax:
Practice Address - Street 1:4045 SPENCER ST STE B44
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5289
Practice Address - Country:US
Practice Address - Phone:702-547-9890
Practice Address - Fax:702-434-0121
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01060106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist