Provider Demographics
NPI:1023284205
Name:LINCOLN, BETSY KAY
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:KAY
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CAROLINA AVE
Mailing Address - Street 2:B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-1605
Mailing Address - Country:US
Mailing Address - Phone:540-816-0404
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE DRIVE
Practice Address - Street 2:SUITE 401
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8548
Practice Address - Country:US
Practice Address - Phone:919-643-5500
Practice Address - Fax:919-643-5550
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health