Provider Demographics
NPI:1649651597
Name:BINETTE, NEIL (MA, LMFT)
Entity type:Individual
Prefix:MR
First Name:NEIL
Middle Name:
Last Name:BINETTE
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 WARNER ROSE PL APT 4
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3854
Mailing Address - Country:US
Mailing Address - Phone:207-619-3006
Mailing Address - Fax:
Practice Address - Street 1:64 WARNER ROSE PL APT 4
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3854
Practice Address - Country:US
Practice Address - Phone:207-619-3006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001569106H00000X
VT100.0114640106H00000X
NH183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist