Provider Demographics
NPI:1497169205
Name:SCARLETT, LINDSEY N (LCPC)
Entity Type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:N
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:S
Other - Last Name:PENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4838 W CORNELIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-3541
Mailing Address - Country:US
Mailing Address - Phone:248-250-2303
Mailing Address - Fax:
Practice Address - Street 1:1010 LAKE ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1147
Practice Address - Country:US
Practice Address - Phone:773-665-8052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL41-LX-019659659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health