Healthcare Provider Details

I. General information

NPI: 1528571064
Provider Name (Legal Business Name): LINDSAY GERHART LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2017
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 S BROADWAY
LORAIN OH
44053-3891
US

IV. Provider business mailing address

6140 S BROADWAY
LORAIN OH
44053-3891
US

V. Phone/Fax

Practice location:
  • Phone: 440-204-4315
  • Fax: 440-204-4315
Mailing address:
  • Phone: 440-233-7232
  • Fax: 440-204-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE2001959
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberC.1600755-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: