Provider Demographics
NPI:1093221095
Name:STRANGE, LYNN B (MS, LPCI)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:B
Last Name:STRANGE
Suffix:
Gender:F
Credentials:MS, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 WRIGHTS POINT CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6955
Mailing Address - Country:US
Mailing Address - Phone:843-379-8088
Mailing Address - Fax:
Practice Address - Street 1:32 WRIGHTS POINT CIR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6955
Practice Address - Country:US
Practice Address - Phone:843-379-8088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6753101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional