Healthcare Provider Details

I. General information

NPI: 1104347624
Provider Name (Legal Business Name): LINDSAY LEIGH MCCLANATHAN MS LPCMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2017
Last Update Date: 07/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 OLD LANDING RD
MILLSBORO DE
19966-1210
US

IV. Provider business mailing address

9064 N OLD STATE RD
LINCOLN DE
19960-3638
US

V. Phone/Fax

Practice location:
  • Phone: 302-947-1920
  • Fax: 302-947-4645
Mailing address:
  • Phone: 302-228-3683
  • Fax: 302-947-4645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAC-0000126
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: