Provider Demographics
NPI:1255174553
Name:THOMPSON, LINDSAY MARISSE (MA, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARISSE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MA, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9301 OLD BEE CAVES RD APT 425
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8284
Mailing Address - Country:US
Mailing Address - Phone:512-965-1037
Mailing Address - Fax:
Practice Address - Street 1:9301 OLD BEE CAVES RD APT 425
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8284
Practice Address - Country:US
Practice Address - Phone:512-965-1037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88125101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional