Provider Demographics
NPI:1093592362
Name:PEELE, LYNSHONDA (BT)
Entity Type:Individual
Prefix:
First Name:LYNSHONDA
Middle Name:
Last Name:PEELE
Suffix:
Gender:F
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2528 DAKOTA DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-7349
Mailing Address - Country:US
Mailing Address - Phone:252-809-3776
Mailing Address - Fax:
Practice Address - Street 1:2528 DAKOTA DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-7349
Practice Address - Country:US
Practice Address - Phone:252-809-3776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician