Provider Demographics
NPI:1891441028
Name:MASON, LINDSEY (LAC, NCC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 S BLUE WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-8242
Mailing Address - Country:US
Mailing Address - Phone:479-684-9928
Mailing Address - Fax:
Practice Address - Street 1:THE JOSHUA CENTER
Practice Address - Street 2:3680 N INVESTMENT DRIVE, STE 1
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703
Practice Address - Country:US
Practice Address - Phone:479-435-9356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2009116101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty