Provider Demographics
NPI:1770665044
Name:LINDSLEY, SHERRY (MS, LPC, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:
Last Name:LINDSLEY
Suffix:
Gender:F
Credentials:MS, LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 WATCHET PL
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5141
Mailing Address - Country:US
Mailing Address - Phone:919-556-0225
Mailing Address - Fax:919-556-7802
Practice Address - Street 1:308 WATCHET PL
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5141
Practice Address - Country:US
Practice Address - Phone:919-556-0225
Practice Address - Fax:919-556-7802
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS 103, LPC 2191101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
103584167-01OtherUNITED BEHAVIORAL HEALTH
429635OtherCIGNA INSURANCE
NC129XNOtherBCBS INSURANCE
229613OtherMAMSI INSURANCE
184516OtherMED COST INSURANCE