Provider Demographics
NPI:1235469792
Name:LIPSEY, NANCY ANETTE (LPC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANETTE
Last Name:LIPSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:LIPSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:14890 SHORELINE DR W
Mailing Address - Street 2:
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-8891
Mailing Address - Country:US
Mailing Address - Phone:740-334-3470
Mailing Address - Fax:
Practice Address - Street 1:505 MOUNT VERNON RD
Practice Address - Street 2:SUITE 300
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4682
Practice Address - Country:US
Practice Address - Phone:740-334-3470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0501337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional