Provider Demographics
NPI:1205098480
Name:HARMS, LINDSAY RYAN (MS, LCPC)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:RYAN
Last Name:HARMS
Suffix:
Gender:F
Credentials:MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61611-1783
Mailing Address - Country:US
Mailing Address - Phone:309-670-0459
Mailing Address - Fax:309-670-0416
Practice Address - Street 1:2511 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61611-1783
Practice Address - Country:US
Practice Address - Phone:309-670-0459
Practice Address - Fax:309-670-0416
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.006924103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling