MEDICARE: LAKIEA L DALRYMPLE LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	009702	NY

General Provider Information

NPI Number	:	1629458476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKIEA L DALRYMPLE LMHC

Provider Business Mailing Address
First Line	:	301 LITTLE LAWSON LN APT 429
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-7279
Country	:	US
Telephone Number	:	718-593-5661
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 LITTLE LAWSON LN APT 429
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-7279
Country	:	US
Telephone Number	:	718-593-5661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2015
Last Update Date	:	04/03/2026

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