Healthcare Provider Details

I. General information

NPI: 1821905605
Provider Name (Legal Business Name): LINDSAY PRESTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 HIGHWAY 12 N
CHAPMANSBORO TN
37035-5343
US

IV. Provider business mailing address

962 GRATTON RD
CLARKSVILLE TN
37043-2503
US

V. Phone/Fax

Practice location:
  • Phone: 615-383-2115
  • Fax:
Mailing address:
  • Phone: 615-618-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: