Provider Demographics
NPI:1952700536
Name:LYNSKEY, STACY HUNTER (MS, NCC, LGPC)
Entity Type:Individual
Prefix:
First Name:STACY
Middle Name:HUNTER
Last Name:LYNSKEY
Suffix:
Gender:F
Credentials:MS, NCC, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N JEFFERSON ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-3500
Mailing Address - Country:US
Mailing Address - Phone:301-712-9015
Mailing Address - Fax:
Practice Address - Street 1:10 N JEFFERSON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-3500
Practice Address - Country:US
Practice Address - Phone:301-712-9015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLGP5646101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral