Provider Demographics
NPI:1265635833
Name:MCCONVILLE, LINDSAY LEE (PLMHP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:LEE
Last Name:MCCONVILLE
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39341 ROAD 707
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:NE
Mailing Address - Zip Code:69026-8601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:207 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MCCOOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3607
Practice Address - Country:US
Practice Address - Phone:308-345-4676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health