Healthcare Provider Details

I. General information

NPI: 1275498875
Provider Name (Legal Business Name): LINDSEY NACOLE WILSON APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 S LOVERS LN
VISALIA CA
93292-5249
US

IV. Provider business mailing address

1223 S LOVERS LN
VISALIA CA
93292-5249
US

V. Phone/Fax

Practice location:
  • Phone: 559-981-4903
  • Fax: 559-256-4474
Mailing address:
  • Phone: 559-981-4903
  • Fax: 559-256-4474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21553
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: