Provider Demographics
NPI:1609162619
Name:RYE, LYNSEY MARIE (LPC)
Entity type:Individual
Prefix:
First Name:LYNSEY
Middle Name:MARIE
Last Name:RYE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 E CHURCH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-2953
Mailing Address - Country:US
Mailing Address - Phone:734-265-0043
Mailing Address - Fax:
Practice Address - Street 1:204 E CHURCH ST STE 100
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2953
Practice Address - Country:US
Practice Address - Phone:734-265-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MI6401012502101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health