Provider Demographics
NPI:1427361807
Name:WOOD, LINDSEY E (LCPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:E
Last Name:WOOD
Suffix:
Gender:F
Credentials:LCPC, LMFT
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:E
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-3049
Mailing Address - Country:US
Mailing Address - Phone:217-222-8254
Mailing Address - Fax:217-222-4512
Practice Address - Street 1:915 VERMONT ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-3049
Practice Address - Country:US
Practice Address - Phone:217-222-8254
Practice Address - Fax:217-222-4512
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008070101Y00000X
IL166.000867106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist