Healthcare Provider Details

I. General information

NPI: 1982924098
Provider Name (Legal Business Name): LINDSY FISHER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7695 S COUNTY ROAD 25A
TIPP CITY OH
45371-9215
US

IV. Provider business mailing address

7695 S COUNTY ROAD 25A
TIPP CITY OH
45371-9215
US

V. Phone/Fax

Practice location:
  • Phone: 937-667-4678
  • Fax: 937-667-4963
Mailing address:
  • Phone: 937-667-4678
  • Fax: 937-667-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI 1000095
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: