Provider Demographics
NPI:1528715711
Name:LINDGREN, PEYTON NOELLE (LPC)
Entity type:Individual
Prefix:
First Name:PEYTON
Middle Name:NOELLE
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4502 WINDOWS DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-4344
Mailing Address - Country:US
Mailing Address - Phone:254-931-1309
Mailing Address - Fax:
Practice Address - Street 1:4502 WINDOWS DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-4344
Practice Address - Country:US
Practice Address - Phone:254-931-1309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81112101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor