Provider Demographics
NPI:1265983779
Name:RIESSELMAN, LINDSEY NICOLE (MS, NCC, LPCA)
Entity type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:NICOLE
Last Name:RIESSELMAN
Suffix:
Gender:F
Credentials:MS, NCC, LPCA
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:NICOLE
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCMHC
Mailing Address - Street 1:12210 PALLADIUM RIDGE LN APT 302
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-7423
Mailing Address - Country:US
Mailing Address - Phone:712-790-4559
Mailing Address - Fax:
Practice Address - Street 1:10955 WINDS CROSSING DR STE 300
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6778
Practice Address - Country:US
Practice Address - Phone:803-207-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IASFV074992000OtherBLUE CROSS BLUE SHIELD