Provider Demographics
NPI:1750880019
Name:WALKER, LINDSEY KAYE (MA EDS, LCAS-A,)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KAYE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA EDS, LCAS-A,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 335
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043
Mailing Address - Country:US
Mailing Address - Phone:828-220-4174
Mailing Address - Fax:828-220-4375
Practice Address - Street 1:127 E TRADE ST
Practice Address - Street 2:STE B100
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2201
Practice Address - Country:US
Practice Address - Phone:828-220-4174
Practice Address - Fax:828-220-4375
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS24305101YA0400X
NCA14124101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750880019OtherNPI
1770342354OtherNPI