Provider Demographics
NPI:1073264818
Name:LUBINSKY, WENDAL (LCMHC)
Entity Type:Individual
Prefix:
First Name:WENDAL
Middle Name:
Last Name:LUBINSKY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MEARLEAF PL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-6118
Mailing Address - Country:US
Mailing Address - Phone:917-334-8512
Mailing Address - Fax:
Practice Address - Street 1:201 MEARLEAF PL
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-6118
Practice Address - Country:US
Practice Address - Phone:917-334-8512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17240101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health