Provider Demographics
NPI:1487831467
Name:SINK, LYDIA LA BELLA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:LA BELLA
Last Name:SINK
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 1:2703 ALDERSGATE WAY
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-5612
Mailing Address - Country:US
Mailing Address - Phone:630-341-3203
Mailing Address - Fax:
Practice Address - Street 1:2703 ALDERSGATE WAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-5612
Practice Address - Country:US
Practice Address - Phone:630-341-3203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2698101YP2500X
VA0701005586101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional