Provider Demographics
NPI:1558619676
Name:STEIN, LINDSAY (LPCC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:DVORAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:156A LEAR RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012
Mailing Address - Country:US
Mailing Address - Phone:419-367-3500
Mailing Address - Fax:
Practice Address - Street 1:156A LEAR RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012
Practice Address - Country:US
Practice Address - Phone:419-367-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1000176101YP2500X
OHE.1800819101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional