Provider Demographics
NPI:1699712224
Name:ARIAL, LYNNE SUE (LPC)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:SUE
Last Name:ARIAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:SUE
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1214 BARTON HILLS DR
Mailing Address - Street 2:UNIT #202
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-8815
Mailing Address - Country:US
Mailing Address - Phone:512-560-8703
Mailing Address - Fax:
Practice Address - Street 1:2525 WALLINGWOOD DR
Practice Address - Street 2:BLDG. 13, STE. B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6900
Practice Address - Country:US
Practice Address - Phone:512-560-8703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6630LCOtherBLUE CROSS BLUE SHIELD