Provider Demographics
NPI:1518476373
Name:MINTON, LINDSAY RENFRO (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:RENFRO
Last Name:MINTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:ANNE
Other - Last Name:RENFRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 N FOREST PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5136
Mailing Address - Country:US
Mailing Address - Phone:865-219-3352
Mailing Address - Fax:
Practice Address - Street 1:407 N FOREST PARK BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5136
Practice Address - Country:US
Practice Address - Phone:865-219-3352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1185106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty