Provider Demographics
NPI:1568177178
Name:ANDLER, LYNDSEY RENEE (LCMHCA)
Entity Type:Individual
Prefix:MISS
First Name:LYNDSEY
Middle Name:RENEE
Last Name:ANDLER
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 DAVIDSON HWY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-4245
Mailing Address - Country:US
Mailing Address - Phone:980-209-6328
Mailing Address - Fax:704-787-8085
Practice Address - Street 1:170 DAVIDSON HWY
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-4245
Practice Address - Country:US
Practice Address - Phone:980-209-6328
Practice Address - Fax:704-787-8085
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18444101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health