Provider Demographics
NPI:1053044438
Name:ZAMBETTI, LYNDSAY LAREE (CO 61289314)
Entity Type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:LAREE
Last Name:ZAMBETTI
Suffix:
Gender:F
Credentials:CO 61289314
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14015 E RUPPERT RD
Mailing Address - Street 2:
Mailing Address - City:BENTON CITY
Mailing Address - State:WA
Mailing Address - Zip Code:99320-8777
Mailing Address - Country:US
Mailing Address - Phone:509-820-6838
Mailing Address - Fax:
Practice Address - Street 1:7510 W DESCHUTES PL
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7719
Practice Address - Country:US
Practice Address - Phone:509-579-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61289314101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)