Provider Demographics
NPI:1699818344
Name:KING, LYNN (MACPC, LPCC-S)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:MACPC, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 CHARRING CROSS DR S
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2862
Mailing Address - Country:US
Mailing Address - Phone:614-890-8262
Mailing Address - Fax:614-776-5333
Practice Address - Street 1:171 CHARRING CROSS DR S
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2862
Practice Address - Country:US
Practice Address - Phone:614-890-8262
Practice Address - Fax:614-776-5333
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE00008014101Y00000X, 101YA0400X, 101YP2500X, 101YM0800X
101YP2500X
OHMT153954246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health