Provider Demographics
NPI:1417421801
Name:SOBONYA, LYNN CHRISTINE (LPCC)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:CHRISTINE
Last Name:SOBONYA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1595 OAKES RD
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-3140
Mailing Address - Country:US
Mailing Address - Phone:216-337-0819
Mailing Address - Fax:
Practice Address - Street 1:1595 OAKES RD
Practice Address - Street 2:
Practice Address - City:BROADVIEW HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44147-3140
Practice Address - Country:US
Practice Address - Phone:216-337-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-18
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E.2404715101YP2500X
OH1902333101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional