Provider Demographics
NPI:1841743390
Name:PRICE, LYNDA CAMERON (EDS, LPC, AADC)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:CAMERON
Last Name:PRICE
Suffix:
Gender:F
Credentials:EDS, LPC, AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 3RD AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3829
Mailing Address - Country:US
Mailing Address - Phone:205-434-0969
Mailing Address - Fax:
Practice Address - Street 1:2214 3RD AVE N STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3829
Practice Address - Country:US
Practice Address - Phone:205-547-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL115101YA0400X
AL3817101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)