Provider Demographics
NPI:1083462394
Name:LIND PSYCHOLOGICAL ASSOCIATES, LLC
Entity type:Organization
Organization Name:LIND PSYCHOLOGICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:LIND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:803-236-0766
Mailing Address - Street 1:1518 LADY ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3402
Mailing Address - Country:US
Mailing Address - Phone:803-236-0766
Mailing Address - Fax:803-708-0031
Practice Address - Street 1:1518 LADY ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3402
Practice Address - Country:US
Practice Address - Phone:803-236-0766
Practice Address - Fax:803-708-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)