Provider Demographics
NPI:1710769286
Name:LINGO, KRISTA-GAY (LMSW)
Entity Type:Individual
Prefix:
First Name:KRISTA-GAY
Middle Name:
Last Name:LINGO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 ROCKHILL RD APT 4206
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1413
Mailing Address - Country:US
Mailing Address - Phone:845-702-3304
Mailing Address - Fax:
Practice Address - Street 1:1703 ROCKHILL RD APT 4206
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1413
Practice Address - Country:US
Practice Address - Phone:845-702-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107675104100000X
NY108110104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker