Provider Demographics
NPI:1770344178
Name:CHAMBERLAIN, LINDSAY (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:CHAMBERLAIN
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:COOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3334 SSW LOOP 323 STE 107
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-9237
Mailing Address - Country:US
Mailing Address - Phone:903-330-1536
Mailing Address - Fax:903-470-7328
Practice Address - Street 1:3334 SSW LOOP 323 STE 107
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-9237
Practice Address - Country:US
Practice Address - Phone:903-330-1536
Practice Address - Fax:903-470-7328
Is Sole Proprietor?:No
Enumeration Date:2024-01-22
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88588101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional