Provider Demographics
NPI:1245905231
Name:PERRY, LINDSAY STAMPER (LPC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:STAMPER
Last Name:PERRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 N BRAESWOOD BLVD APT 311
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4325
Mailing Address - Country:US
Mailing Address - Phone:337-304-2473
Mailing Address - Fax:
Practice Address - Street 1:4545 BISSONNET ST STE 289
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3112
Practice Address - Country:US
Practice Address - Phone:832-639-4043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79863101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty