Provider Demographics
NPI:1073915567
Name:SALISBURY, LINDSEY (MCOUN, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:MCOUN, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2667 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-6551
Mailing Address - Country:US
Mailing Address - Phone:307-329-8312
Mailing Address - Fax:
Practice Address - Street 1:1465 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82072-2066
Practice Address - Country:US
Practice Address - Phone:307-329-8312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYPPC-777101Y00000X
WY101YS0200X
WYLPC-1588101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYLPC-1588OtherSTATE LICENSE
WYPPC-777OtherSTATE LICENSE
317637OtherNATIONAL CERTIFIED COUNSELOR
T4899OtherREGISTERED PLAY THERAPIST