Provider Demographics
NPI:1952961518
Name:GALLAGHER, LYNSEY DAWN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LYNSEY
Middle Name:DAWN
Last Name:GALLAGHER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:LYNSEY
Other - Middle Name:DAWN
Other - Last Name:GLEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:431 OHIO PIKE STE 312
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-3629
Mailing Address - Country:US
Mailing Address - Phone:513-770-1705
Mailing Address - Fax:
Practice Address - Street 1:431 OHIO PIKE STE 312
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3629
Practice Address - Country:US
Practice Address - Phone:513-770-1705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1902003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health