Provider Demographics
NPI:1851798458
Name:LOMAX, STACY LYNN (LPC-CR)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:LYNN
Last Name:LOMAX
Suffix:
Gender:F
Credentials:LPC-CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 N HIGH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3956
Mailing Address - Country:US
Mailing Address - Phone:614-370-6997
Mailing Address - Fax:
Practice Address - Street 1:5900 N HIGH ST STE 110
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3956
Practice Address - Country:US
Practice Address - Phone:614-370-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1300095101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional