Provider Demographics
NPI:1922634153
Name:BOWLING, LINDSAY (LPC, LMHC, CSAC)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:
Last Name:BOWLING
Suffix:
Gender:F
Credentials:LPC, LMHC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10560 ARROWHEAD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7322
Mailing Address - Country:US
Mailing Address - Phone:703-865-4900
Mailing Address - Fax:
Practice Address - Street 1:11166 FAIRFAX BLVD STE 207
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5017
Practice Address - Country:US
Practice Address - Phone:703-865-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102944101YA0400X
NY011888101YP2500X
VA0701006511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011888OtherTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT