Provider Demographics
NPI:1154622124
Name:GOLOMB, LINDSEY TAYLOR (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:TAYLOR
Last Name:GOLOMB
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MRS
Other - First Name:LINDSEY
Other - Middle Name:TAYLOR
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:4111 WOODLARK DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2343
Mailing Address - Country:US
Mailing Address - Phone:508-934-6622
Mailing Address - Fax:
Practice Address - Street 1:1801 MISSISSIPPI AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6120
Practice Address - Country:US
Practice Address - Phone:202-436-3060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional