| Doctor Name: | MRS. LORI LYNN CHANCY |
| NPI Number: | 1023243110 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 2830 |
| Business Practice Address: | 540 Westgate Pkwy Dothan, AL - 363033073 |
| Business Phone Number: | 3346993733 |
| Business Fax Number: | 3346993734 |
| Mailing Address: | 540 Westgate Pkwy, Ste 103 DOTHAN |
| State: | AL |
| Postal Code: | 363033073 |
| Phone Number: | 3347914806 |
| Fax Number: | 3344463547 |
| NPI Enumeration Date: | 05/19/2009 |
| NPI Last Update Date: | 01/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |