Lynda Marie Loftis, LADAC
Counselor, Addiction (Substance Use Disorder) in Cookeville, TN. Individual provider (NPI-1).
NPI number1215062229
StatusActive
Last updated in NPPESJul 13, 2018
Details
- NPI
- 1215062229
- Entity type
- Individual (NPI-1)
- Name
- Lynda Marie Loftis
- Credential
- LADAC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2007
- Last updated
- Jul 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1118 | TN | Yes |
| 101YP2500X | Counselor, Professional | 1118 | TN | |
| 101Y00000X | Counselor | 1118 | TN | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172A00000X | Driver | 079962201 | TN | |
| 174200000X | Meals | – | – | |
| 175T00000X | Peer Specialist | 0330 | TN | |
| 177F00000X | Lodging | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | 1118 | TN | |
| 251V00000X | Voluntary or Charitable | – | – | |
| 251X00000X | Supports Brokerage | – | – | |
| 347C00000X | Private Vehicle | 079962201 | TN | |
| 347E00000X | Transportation Broker | – | – | |
| 405300000X | Prevention Professional | 1118 | TN |
Other names
- Lynda Marie Atyeo (Former Name)
Practice location
2435 Oak Park DrCookeville, TN 38506
Phone 931-510-9775 · Fax 615-528-9403
Mailing address
2435 Oak Park DrCookeville, TN 38506-5038
Phone 931-510-9775
Other practice locations
665 S Jefferson Ave
Cookeville, TN 38501-4011
Cookeville, TN 38501-4011
Phone 931-528-0051
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