Provider Demographics
NPI:1487797932
Name:M VAUGHT, LINDEE (CMSW)
Entity type:Individual
Prefix:MRS
First Name:LINDEE
Middle Name:
Last Name:M VAUGHT
Suffix:
Gender:F
Credentials:CMSW
Other - Prefix:MRS
Other - First Name:CELINDA
Other - Middle Name:MANSUR
Other - Last Name:VAUGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:505 OAK FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-1842
Mailing Address - Country:US
Mailing Address - Phone:615-399-2841
Mailing Address - Fax:
Practice Address - Street 1:505 OAK FOREST CIR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-1842
Practice Address - Country:US
Practice Address - Phone:615-319-4450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN49411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical