Provider Demographics
NPI:1780910562
Name:HEAD, LYNNE S (LPC)
Entity type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:S
Last Name:HEAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LYNNE
Other - Middle Name:S
Other - Last Name:HEAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COUNSELOR-PROFESSION
Mailing Address - Street 1:524 SHEPHERDS CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-7857
Mailing Address - Country:US
Mailing Address - Phone:828-447-9106
Mailing Address - Fax:
Practice Address - Street 1:271A CALLAHAN KOON RD
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-2207
Practice Address - Country:US
Practice Address - Phone:828-287-6110
Practice Address - Fax:828-287-6092
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional