Healthcare Provider Details

I. General information

NPI: 1316668312
Provider Name (Legal Business Name): LINDSEY TERESA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W GABILAN ST STE 2
SALINAS CA
93901-2723
US

IV. Provider business mailing address

PO BOX 211
SALINAS CA
93902-0211
US

V. Phone/Fax

Practice location:
  • Phone: 831-272-6644
  • Fax: 866-280-0931
Mailing address:
  • Phone: 831-272-6644
  • Fax: 866-280-0931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155969
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: