Provider Demographics
NPI:1962412460
Name:DAVIS, LINDSAY ELIZABETH (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 N TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-4321
Mailing Address - Country:US
Mailing Address - Phone:314-306-0748
Mailing Address - Fax:
Practice Address - Street 1:124 N TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-4321
Practice Address - Country:US
Practice Address - Phone:314-306-0748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004010239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health