Provider Demographics
NPI:1275999302
Name:SHECKLES, LINDSEY REED (MAE, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:REED
Last Name:SHECKLES
Suffix:
Gender:F
Credentials:MAE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9238 MADISON BLVD
Mailing Address - Street 2:BLDG 1 SUITE 800
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9100
Mailing Address - Country:US
Mailing Address - Phone:256-258-7777
Mailing Address - Fax:
Practice Address - Street 1:9238 MADISON BLVD
Practice Address - Street 2:BLDG 1 SUITE 800
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9100
Practice Address - Country:US
Practice Address - Phone:256-258-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3546101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional