Provider Demographics
NPI:1659608842
Name:HADLEY, LYNN B (LPC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:B
Last Name:HADLEY
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 1:1912 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TROUTVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24175-7061
Mailing Address - Country:US
Mailing Address - Phone:859-619-5103
Mailing Address - Fax:
Practice Address - Street 1:1912 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:TROUTVILLE
Practice Address - State:VA
Practice Address - Zip Code:24175-7061
Practice Address - Country:US
Practice Address - Phone:859-619-5103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004713101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional