Provider Demographics
NPI:1952943425
Name:RODWELL, LINDSAY STUMP (MS, LCMHC, LCAS, NC)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:STUMP
Last Name:RODWELL
Suffix:
Gender:F
Credentials:MS, LCMHC, LCAS, NC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:RACHEL
Other - Last Name:STUMP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:502 RED BANKS RD STE A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5751
Mailing Address - Country:US
Mailing Address - Phone:252-758-4810
Mailing Address - Fax:252-758-3790
Practice Address - Street 1:502 RED BANKS RD STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5751
Practice Address - Country:US
Practice Address - Phone:252-758-4810
Practice Address - Fax:252-758-3790
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X101Y00000X, 101YP2500X
NCLCAS-25925101YA0400X
NCA15199101YM0800X
NC15199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional