Provider Demographics
NPI:1649734377
Name:LAFLECHE, LINDSEY (LISW, LICDC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:LAFLECHE
Suffix:
Gender:F
Credentials:LISW, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-1843
Mailing Address - Country:US
Mailing Address - Phone:937-247-9015
Mailing Address - Fax:937-247-9009
Practice Address - Street 1:113 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-1843
Practice Address - Country:US
Practice Address - Phone:937-247-9015
Practice Address - Fax:937-247-9009
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.162526101YA0400X
I.24060361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)