Provider Demographics
NPI:1841214871
Name:WRIGHT, LYNNE D (LPC)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:D
Last Name:WRIGHT
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 1:828 N AUGUSTA STREET
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-3211
Mailing Address - Country:US
Mailing Address - Phone:540-324-2555
Mailing Address - Fax:540-324-2332
Practice Address - Street 1:828 N AUGUSTA STREET
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-3211
Practice Address - Country:US
Practice Address - Phone:540-324-2555
Practice Address - Fax:540-324-2332
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005406102Medicaid