Provider Demographics
NPI:1275651705
Name:BARNETTE, LYNNE WHITE (LCAS)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:WHITE
Last Name:BARNETTE
Suffix:
Gender:F
Credentials:LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 SUTTLES RD
Mailing Address - Street 2:
Mailing Address - City:ELLENBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28040-5765
Mailing Address - Country:US
Mailing Address - Phone:828-248-2486
Mailing Address - Fax:828-247-1705
Practice Address - Street 1:627 WITHROW RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-9695
Practice Address - Country:US
Practice Address - Phone:828-247-1700
Practice Address - Fax:828-247-1705
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC752101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)