Healthcare Provider Details

I. General information

NPI: 1356004006
Provider Name (Legal Business Name): JAMES ERIC LINDLEY M.S. C.S.A.C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 MEADOWVIEW DR STE 5
DANVILLE VA
24541-7352
US

IV. Provider business mailing address

1721 BUCKHORN DR
DANVILLE VA
24540-5119
US

V. Phone/Fax

Practice location:
  • Phone: 434-685-1570
  • Fax: 434-685-1477
Mailing address:
  • Phone: 434-548-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710101032
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: