Provider Demographics
NPI:1679932727
Name:GEIBEL, LINDSEY RAY (LMFT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RAY
Last Name:GEIBEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 322
Mailing Address - Street 2:
Mailing Address - City:ATASCADERO
Mailing Address - State:CA
Mailing Address - Zip Code:93423-0322
Mailing Address - Country:US
Mailing Address - Phone:805-570-2509
Mailing Address - Fax:
Practice Address - Street 1:10720 PORTAL RD
Practice Address - Street 2:
Practice Address - City:ATASCADERO
Practice Address - State:CA
Practice Address - Zip Code:93422-2204
Practice Address - Country:US
Practice Address - Phone:805-400-3157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141361106H00000X
CA125792106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist