Provider Demographics
NPI:1316338296
Name:BELKNAP-WILLIAMS, LYNETTE (MA)
Entity type:Individual
Prefix:
First Name:LYNETTE
Middle Name:
Last Name:BELKNAP-WILLIAMS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 ANTELOPE GAP RD
Mailing Address - Street 2:
Mailing Address - City:WHEATLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82201-8810
Mailing Address - Country:US
Mailing Address - Phone:308-631-6066
Mailing Address - Fax:
Practice Address - Street 1:688 ANTELOPE GAP RD
Practice Address - Street 2:
Practice Address - City:WHEATLAND
Practice Address - State:WY
Practice Address - Zip Code:82201-8810
Practice Address - Country:US
Practice Address - Phone:308-631-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1549101YP2500X, 101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor