Healthcare Provider Details

I. General information

NPI: 1699639609
Provider Name (Legal Business Name): LINDSEY WELLNESS & BEHAVIORAL HEALTH CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 KAY DR STE B
EASLEY SC
29640-8997
US

IV. Provider business mailing address

116 KAY DR STE B
EASLEY SC
29640-8997
US

V. Phone/Fax

Practice location:
  • Phone: 864-787-7122
  • Fax: 864-751-5212
Mailing address:
  • Phone: 864-787-7122
  • Fax: 864-752-5212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SHANECA ANNETTE LINDSEY
Title or Position: CEO/OWNER
Credential:
Phone: 864-787-7122