Basic Information
| Provider Information | |||||||||
| NPI: | 1396267761 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STOCKTON | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | RHIANNON | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2517 GLEN FIELD DR | ||||||||
| Address2: | |||||||||
| City: | CEDAR PARK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786137610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5122693274 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5524 BEE CAVES ROAD, SUITE K4 | ||||||||
| Address2: | |||||||||
| City: | WEST LAKE HILLS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787467874 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5127100551 | ||||||||
| FaxNumber: | 5127176337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2017 | ||||||||
| LastUpdateDate: | 06/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 71164 | TX | N | Behavioral Health & Social Service Providers | Counselor | 101YM0800X | 71164 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.