Provider Demographics
NPI:1477522605
Name:MOREE, LYNNE A (LPC)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:A
Last Name:MOREE
Suffix:
Gender:F
Credentials:LPC
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 1656
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-1656
Mailing Address - Country:US
Mailing Address - Phone:336-838-1644
Mailing Address - Fax:336-667-7720
Practice Address - Street 1:204 JEFFERSON ST
Practice Address - Street 2:SUITE 106
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3543
Practice Address - Country:US
Practice Address - Phone:336-838-1644
Practice Address - Fax:336-667-7720
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2408101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCN/AOtherMHNET
NC12566OtherBCBS OF NC
NC115710OtherUNITED BEHAVIORAL HEALTH
NC2054015OtherCIGNA BEHAVIORAL HEALTH
NCB0243OtherMEDCOST
NCN/AOtherCAROLINA BEHAVIORAL HEALT
NC6102745Medicaid