Basic Information
| Provider Information | |||||||||
| NPI: | 1376990259 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LINDSEY SHECKLES THERAPY LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2710 THORNTON CIR SW | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358013931 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5025102213 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9238 MADISON BLVD | ||||||||
| Address2: | BLDG 1 SUITE 800 | ||||||||
| City: | MADISON | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357589100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2562587777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2016 | ||||||||
| LastUpdateDate: | 05/19/2016 | ||||||||
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| AuthorizedOfficialLastName: | SHECKLES | ||||||||
| AuthorizedOfficialFirstName: | LINDSEY | ||||||||
| AuthorizedOfficialMiddleName: | REED | ||||||||
| AuthorizedOfficialTitleorPosition: | INDEPENDENT CONTRACTOR/THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 5025102213 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | MAE, LPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | AL | Y | Agencies | Community/Behavioral Health |
No ID Information.