Healthcare Provider Details

I. General information

NPI: 1154234854
Provider Name (Legal Business Name): LINDSAY ABBOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 CAPCOM AVE
WAKE FOREST NC
27587-6586
US

IV. Provider business mailing address

1590 MOUNT OLIVET CHURCH RD
FRANKLINTON NC
27525-9369
US

V. Phone/Fax

Practice location:
  • Phone: 919-551-7222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23108
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: