Provider Demographics
NPI:1689258998
Name:DUET, LYNDSY ANN (LPC)
Entity Type:Individual
Prefix:
First Name:LYNDSY
Middle Name:ANN
Last Name:DUET
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 1:1530 P B LN # D4125
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76302-2612
Mailing Address - Country:US
Mailing Address - Phone:281-809-7326
Mailing Address - Fax:
Practice Address - Street 1:3922 ECHO MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-2047
Practice Address - Country:US
Practice Address - Phone:281-809-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68631101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional