Provider Demographics
NPI:1902212889
Name:HALE, LYNN ANNETTE (LPC)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:ANNETTE
Last Name:HALE
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 1:150A JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-0501
Mailing Address - Country:US
Mailing Address - Phone:706-864-6822
Mailing Address - Fax:
Practice Address - Street 1:150A JOHNSON ST
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-0501
Practice Address - Country:US
Practice Address - Phone:706-864-6822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006857101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional