Provider Demographics
NPI:1164187480
Name:LINDSEY, YLANDA
Entity Type:Individual
Prefix:MS
First Name:YLANDA
Middle Name:
Last Name:LINDSEY
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 1:4688 W TANGERINE RD APT 4108
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-4871
Mailing Address - Country:US
Mailing Address - Phone:864-809-6447
Mailing Address - Fax:
Practice Address - Street 1:13210 W VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1164
Practice Address - Country:US
Practice Address - Phone:623-259-5800
Practice Address - Fax:623-259-5858
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health