Provider Demographics
NPI:1649007949
Name:GOERGEN, LINDSEY SARAH (LMHC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:SARAH
Last Name:GOERGEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7604 MICAWBER CIR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-4007
Mailing Address - Country:US
Mailing Address - Phone:317-331-6202
Mailing Address - Fax:
Practice Address - Street 1:6507 FERGUSON ST STE 201
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-0019
Practice Address - Country:US
Practice Address - Phone:317-331-6202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-19
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39005076A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health