Provider Demographics
NPI:1417362716
Name:FISHER-WORSTER, LINDSAY (LPC-MHSP)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:
Last Name:FISHER-WORSTER
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:1765 VIOLA CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-1781
Mailing Address - Country:US
Mailing Address - Phone:423-208-5802
Mailing Address - Fax:
Practice Address - Street 1:662 SANGO RD STE B
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5982
Practice Address - Country:US
Practice Address - Phone:931-919-2641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3160101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health