Provider Demographics
NPI:1629710801
Name:LINDSEY, STEPHANIE P (LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:P
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5706 E MOCKINGBIRD LN # 115-152
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5460
Mailing Address - Country:US
Mailing Address - Phone:502-554-2116
Mailing Address - Fax:
Practice Address - Street 1:5706 E MOCKINGBIRD LN # 115-152
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5460
Practice Address - Country:US
Practice Address - Phone:502-554-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83429101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health