Provider Demographics
NPI:1407183056
Name:MELOY, LYNN SARAH (LPC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:SARAH
Last Name:MELOY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:MELOY
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:15108 HARVEST RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8660
Mailing Address - Country:US
Mailing Address - Phone:504-430-6110
Mailing Address - Fax:
Practice Address - Street 1:15108 HARVEST RIDGE LN
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8660
Practice Address - Country:US
Practice Address - Phone:504-430-6110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-03
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5517101YP2500X
LA8015101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional