Provider Demographics
NPI:1699538579
Name:BAISH-FLYNN, LINDSAY (LPC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:BAISH-FLYNN
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 1:1006 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-2319
Mailing Address - Country:US
Mailing Address - Phone:815-509-9922
Mailing Address - Fax:
Practice Address - Street 1:1920 WAUKEGAN RD STE 200
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1717
Practice Address - Country:US
Practice Address - Phone:847-729-3034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.019866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health