Provider Demographics
NPI:1962152009
Name:BROOKS, LINDSAY ELISE (LPC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ELISE
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ELISE
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 S LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-9202
Mailing Address - Country:US
Mailing Address - Phone:217-586-9999
Mailing Address - Fax:
Practice Address - Street 1:110 S LOMBARD ST
Practice Address - Street 2:
Practice Address - City:MAHOMET
Practice Address - State:IL
Practice Address - Zip Code:61853-9202
Practice Address - Country:US
Practice Address - Phone:217-586-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178013902101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional