Provider Demographics
NPI:1972923084
Name:WINLEY, L. K (PSYD, LP, HSP-P)
Entity Type:Individual
Prefix:DR
First Name:L.
Middle Name:K
Last Name:WINLEY
Suffix:
Gender:F
Credentials:PSYD, LP, HSP-P
Other - Prefix:DR
Other - First Name:WINLEY
Other - Middle Name:
Other - Last Name:K.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD, LP, HSP-P
Mailing Address - Street 1:15840 NC HWY 210
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28457-8550
Mailing Address - Country:US
Mailing Address - Phone:919-886-5310
Mailing Address - Fax:
Practice Address - Street 1:15840 NC HWY 210
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NC
Practice Address - Zip Code:28457-8550
Practice Address - Country:US
Practice Address - Phone:910-231-3725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10761101YM0800X
NC5905103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health