Provider Demographics
NPI:1396243291
Name:BRAGG, LINDSEY M (LPCC-S)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:BRAGG
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:M
Other - Last Name:KAMINSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:18 N FORGE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1317
Mailing Address - Country:US
Mailing Address - Phone:330-762-0591
Mailing Address - Fax:330-762-2242
Practice Address - Street 1:18 N FORGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1317
Practice Address - Country:US
Practice Address - Phone:330-762-0591
Practice Address - Fax:330-928-5127
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2002045101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health