Provider Demographics
NPI:1417429838
Name:LINDSAY COCHRAN,LLC
Entity Type:Organization
Organization Name:LINDSAY COCHRAN,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:COCHRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-840-1861
Mailing Address - Street 1:747 RALPH MCGILL BLVD NE UNIT 1035
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1132
Mailing Address - Country:US
Mailing Address - Phone:248-840-1861
Mailing Address - Fax:
Practice Address - Street 1:741 PIEDMONT AVE NE STE 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1480
Practice Address - Country:US
Practice Address - Phone:678-931-9760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-24
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty