Provider Demographics
NPI:1336675073
Name:LINDSEY GIPSON LLC
Entity Type:Organization
Organization Name:LINDSEY GIPSON LLC
Other - Org Name:RAE OF HOPE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:479-806-2053
Mailing Address - Street 1:1 E CENTER ST
Mailing Address - Street 2:SUITE 320 C
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-5349
Mailing Address - Country:US
Mailing Address - Phone:479-806-2053
Mailing Address - Fax:
Practice Address - Street 1:1160 MUSKET ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE GROVE
Practice Address - State:AR
Practice Address - Zip Code:72753-9348
Practice Address - Country:US
Practice Address - Phone:479-806-2053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1609142251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health