Healthcare Provider Details

I. General information

NPI: 1154622124
Provider Name (Legal Business Name): LINDSEY TAYLOR GOLOMB M.A., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY TAYLOR DOYLE M.A., LPC

II. Dates (important events)

Enumeration Date: 11/08/2010
Last Update Date: 08/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 MISSISSIPPI AVE SE
WASHINGTON DC
20020-6120
US

IV. Provider business mailing address

4111 WOODLARK DR
ANNANDALE VA
22003-2343
US

V. Phone/Fax

Practice location:
  • Phone: 202-436-3060
  • Fax:
Mailing address:
  • Phone: 508-934-6622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: