Healthcare Provider Details

I. General information

NPI: 1851009484
Provider Name (Legal Business Name): LINDSAY WALSH ANDREWS LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSAY WALSH ANDREWS LMHC

II. Dates (important events)

Enumeration Date: 11/14/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 NORTHVILLE TPKE
RIVERHEAD NY
11901-1734
US

IV. Provider business mailing address

1212 NORTHVILLE TPKE
RIVERHEAD NY
11901-1734
US

V. Phone/Fax

Practice location:
  • Phone: 631-743-5093
  • Fax:
Mailing address:
  • Phone: 631-743-5093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number010795
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: