Provider Demographics
NPI:1881161354
Name:LINDSEY WHITE, LORI MICHELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:LORI
Middle Name:MICHELLE
Last Name:LINDSEY WHITE
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 1:8789 ELLIS MILL DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-5935
Mailing Address - Country:US
Mailing Address - Phone:703-859-1558
Mailing Address - Fax:
Practice Address - Street 1:7450 HERITAGE VILLAGE PLZ UNIT 101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3091
Practice Address - Country:US
Practice Address - Phone:703-859-1558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007970101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health