Provider Demographics
NPI:1821454521
Name:LYNN, HOLLEE ANNE HUDNELL (MS, LPC, AADC,ICAADC)
Entity Type:Individual
Prefix:
First Name:HOLLEE
Middle Name:ANNE HUDNELL
Last Name:LYNN
Suffix:
Gender:F
Credentials:MS, LPC, AADC,ICAADC
Other - Prefix:
Other - First Name:HOLLEE
Other - Middle Name:ANNE HUDNELL
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:PO BOX 1245
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36302-1245
Mailing Address - Country:US
Mailing Address - Phone:334-712-6400
Mailing Address - Fax:334-712-2673
Practice Address - Street 1:1672 COLUMBIA HWY
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-5434
Practice Address - Country:US
Practice Address - Phone:334-712-6400
Practice Address - Fax:334-712-2673
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional