Provider Demographics
NPI:1356471304
Name:BALCOM, LINDSAY M (LPC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:BALCOM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 EAST 32ND STREET SUITE A
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804
Mailing Address - Country:US
Mailing Address - Phone:417-208-9498
Mailing Address - Fax:417-233-2369
Practice Address - Street 1:2727 EAST 32ND STREET SUITE A
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-208-9498
Practice Address - Fax:417-233-2369
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007006196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional