Provider Demographics
NPI:1356010557
Name:CLEVELAND-HINKLEY, LYNN MICHELE (ASW)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:MICHELE
Last Name:CLEVELAND-HINKLEY
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1031
Mailing Address - Street 2:
Mailing Address - City:HAMILTON CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95951-1031
Mailing Address - Country:US
Mailing Address - Phone:623-703-9254
Mailing Address - Fax:
Practice Address - Street 1:1600 HUMBOLDT RD STE 3
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8100
Practice Address - Country:US
Practice Address - Phone:530-410-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW93880106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist