Provider Demographics
NPI:1013315985
Name:LOPINA, LINDSAY ROMA (LMFTA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ROMA
Last Name:LOPINA
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 987
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-1008
Mailing Address - Country:US
Mailing Address - Phone:704-226-7113
Mailing Address - Fax:
Practice Address - Street 1:6613 MORGANFORD RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-5404
Practice Address - Country:US
Practice Address - Phone:704-226-7113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10024A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist