Provider Demographics
NPI:1104268291
Name:DOVER, LYNETTE BOYCE (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:BOYCE
Last Name:DOVER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2448
Mailing Address - Country:US
Mailing Address - Phone:828-202-3075
Mailing Address - Fax:828-245-8818
Practice Address - Street 1:131 W 2ND ST
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2448
Practice Address - Country:US
Practice Address - Phone:828-202-3075
Practice Address - Fax:828-245-8818
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YS0200X
NC17977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool