Provider Demographics
NPI:1699085597
Name:LINDLEY, DWIGHT HENRY I (LCDC)
Entity type:Individual
Prefix:MR
First Name:DWIGHT
Middle Name:HENRY
Last Name:LINDLEY
Suffix:I
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6502 SLIDE ROAD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423
Mailing Address - Country:US
Mailing Address - Phone:806-771-8808
Mailing Address - Fax:806-771-8809
Practice Address - Street 1:6502 SLIDE RD
Practice Address - Street 2:SUITE 207
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1329
Practice Address - Country:US
Practice Address - Phone:806-771-8808
Practice Address - Fax:806-771-8809
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10431101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)