Provider Demographics
NPI:1992218176
Name:UMSTEAD, LINDSEY KELLEN (MS, LPCA, NCC)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:KELLEN
Last Name:UMSTEAD
Suffix:
Gender:F
Credentials:MS, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 COURTSIDE LN
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-1072
Mailing Address - Country:US
Mailing Address - Phone:919-943-7463
Mailing Address - Fax:
Practice Address - Street 1:1175 REVOLUTION MILL DR LOWR 29-3
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5079
Practice Address - Country:US
Practice Address - Phone:336-430-6694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-10
Last Update Date:2017-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12197101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor