MEDICARE: LINDSEY GRITTON THOMPSON LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	104163	KY

General Provider Information

NPI Number	:	1053746149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY GRITTON THOMPSON LPCC

Provider Business Mailing Address
First Line	:	120 S CROSS MAIN ST
Second Line	:
City	:	SPRINGFIELD
State	:	KY
Zip	:	40069-1212
Country	:	US
Telephone Number	:	502-507-8883
Fax Number	:

Provider Business Practice Location Address
First Line	:	3706 SAINT MARYS RD
Second Line	:
City	:	LEBANON
State	:	KY
Zip	:	40033-9231
Country	:	US
Telephone Number	:	270-699-0450
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2013
Last Update Date	:	09/28/2022

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