Individual
LYNDA MARIE LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
2435 OAK PARK DR, COOKEVILLE, TN 38506
(931) 510-9775
(615) 528-9403
Mailing address
2435 OAK PARK DR, COOKEVILLE, TN 38506-5038
(931) 510-9775
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1118
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1118
TN
101YP2500X
Professional Counselor
1118
TN
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
079962201
TN
174200000X
Meals Provider
—
—
175T00000X
Peer Specialist
0330
TN
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
1118
TN
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
347C00000X
Private Vehicle
079962201
TN
347E00000X
Transportation Broker
—
—
405300000X
Prevention Professional
1118
TN
Other
Enumeration date
02/22/2007
Last updated
07/13/2018
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