Provider Demographics
NPI:1760956650
Name:SMITH, LINDSEY WILSON (LPC INTERN, CRC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:WILSON
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC INTERN, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 WEISKOPF AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5340
Mailing Address - Country:US
Mailing Address - Phone:682-557-1045
Mailing Address - Fax:
Practice Address - Street 1:6800 WEISKOPF AVE STE 150
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5340
Practice Address - Country:US
Practice Address - Phone:682-557-1045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78028101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty