Healthcare Provider Details

I. General information

NPI: 1326744574
Provider Name (Legal Business Name): LINDSEY SCHMIDT COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SOUTH TWIN OAKS VALLEY RD #107440
SAN MARCOS CA
92078-9207
US

IV. Provider business mailing address

646 ATHERTON ST
SAN MARCOS CA
92078-2802
US

V. Phone/Fax

Practice location:
  • Phone: 619-354-6782
  • Fax:
Mailing address:
  • Phone: 619-354-6782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDSEY SCHMIDT
Title or Position: OWNER
Credential: LMFT
Phone: 619-354-6782