Provider Demographics
NPI:1073617668
Name:LINDLEY, KRISTI HERNDON (LPC, NBCC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:HERNDON
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:LPC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 TRICE ST
Mailing Address - Street 2:
Mailing Address - City:SHANNON
Mailing Address - State:MS
Mailing Address - Zip Code:38868-9333
Mailing Address - Country:US
Mailing Address - Phone:662-312-3532
Mailing Address - Fax:
Practice Address - Street 1:1117 TRICE ST
Practice Address - Street 2:
Practice Address - City:SHANNON
Practice Address - State:MS
Practice Address - Zip Code:38868-9333
Practice Address - Country:US
Practice Address - Phone:662-231-3532
Practice Address - Fax:662-231-3532
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS0793101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional