Provider Demographics
NPI:1275246720
Name:LYNCH, VENECIA PLASHETTE (MA, LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:VENECIA
Middle Name:PLASHETTE
Last Name:LYNCH
Suffix:
Gender:F
Credentials:MA, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 HOLLOW TREE DR
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-4744
Mailing Address - Country:US
Mailing Address - Phone:972-892-7100
Mailing Address - Fax:
Practice Address - Street 1:113 HOLLOW TREE DR
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-4744
Practice Address - Country:US
Practice Address - Phone:469-285-1423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90525101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional