Provider Demographics
NPI:1346736220
Name:PEARSON, LINDY (MA, RP, LMHCA)
Entity Type:Individual
Prefix:
First Name:LINDY
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:MA, RP, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2513 MONTMORENCY ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5806
Mailing Address - Country:US
Mailing Address - Phone:303-594-6333
Mailing Address - Fax:
Practice Address - Street 1:155 W HARVARD ST STE 401
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5200
Practice Address - Country:US
Practice Address - Phone:970-672-7974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC.0108359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health