Provider Demographics
NPI:1922744721
Name:LINDSEY, CARINA NICOLE (EDS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:NICOLE
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:EDS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 BARNETT BEND DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-7612
Mailing Address - Country:US
Mailing Address - Phone:601-778-1000
Mailing Address - Fax:
Practice Address - Street 1:1234 BARNETT BEND DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-7612
Practice Address - Country:US
Practice Address - Phone:601-778-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2802101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor