Provider Demographics
NPI:1003042813
Name:BAXLEY, LYNDSAY NICOLE (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:LYNDSAY
Middle Name:NICOLE
Last Name:BAXLEY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 LEXINGTON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-9115
Mailing Address - Country:US
Mailing Address - Phone:713-447-9114
Mailing Address - Fax:
Practice Address - Street 1:2602 LEXINGTON WOODS DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-9115
Practice Address - Country:US
Practice Address - Phone:713-447-9114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62635101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional