Provider Demographics
NPI:1639120496
Name:STROLE, LYNN HELEN (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:HELEN
Last Name:STROLE
Suffix:
Gender:F
Credentials:MSW, LCSW
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 1845
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-1845
Mailing Address - Country:US
Mailing Address - Phone:336-262-0113
Mailing Address - Fax:336-679-6723
Practice Address - Street 1:624 E MAIN ST
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-8136
Practice Address - Country:US
Practice Address - Phone:336-262-0113
Practice Address - Fax:336-679-6723
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCOO2408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC80306OtherBLUE CROSS/BLUE SHIELD
NC80306OtherBLUE CROSS/BLUE SHIELD