Provider Demographics
NPI:1528708864
Name:LINDSEY WILKINSON LLC
Entity type:Organization
Organization Name:LINDSEY WILKINSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-817-5540
Mailing Address - Street 1:PO BOX 3482
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-3304
Mailing Address - Country:US
Mailing Address - Phone:303-817-5540
Mailing Address - Fax:
Practice Address - Street 1:825 S BROADWAY ST STE 12
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-5932
Practice Address - Country:US
Practice Address - Phone:303-817-5540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty