Basic Information
| Provider Information | |||||||||
| NPI: | 1275999302 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHECKLES | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | REED | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.A.E., LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9238 MADISON BLVD | ||||||||
| Address2: | BLDG 1 SUITE 800 | ||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357589100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2562587777 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9238 MADISON BLVD | ||||||||
| Address2: | BLDG 1 SUITE 800 | ||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357589100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2562587777 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2016 | ||||||||
| LastUpdateDate: | 04/29/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 3546 | AL | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.