Provider Demographics
NPI:1780385195
Name:OSBORNE, LINDSAY NOETHLICH (LPC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:NOETHLICH
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12815 WIRE RD
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-9422
Mailing Address - Country:US
Mailing Address - Phone:512-554-5501
Mailing Address - Fax:
Practice Address - Street 1:3000 POLAR LN
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3064
Practice Address - Country:US
Practice Address - Phone:512-554-5501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90578101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional