Basic Information
| Provider Information | |||||||||
| NPI: | 1215660378 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SPRATT | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | VAN HOUTEN | ||||||||
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| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 FREEMAN AVE # B | ||||||||
| Address2: | |||||||||
| City: | WEST ROXBURY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021324509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074007383 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7 LINCOLN ST # 216 | ||||||||
| Address2: | |||||||||
| City: | WAKEFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018803021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813281904 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2022 | ||||||||
| LastUpdateDate: | 07/06/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 12911 | MA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.