MEDICARE: MRS. LINDSAY GARRETT CAMP MA, LMFT

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	106H00000X	Marriage & Family Therapist	202309	TX

General Provider Information

NPI Number	:	1457862724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSAY GARRETT CAMP MA, LMFT

Provider Business Mailing Address
First Line	:	950 WESTBANK DR STE 104
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6689
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 WESTBANK DR STE 104
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-6689
Country	:	US
Telephone Number	:	512-900-0649
Fax Number	:

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

Provider Enumeration Date	:	10/13/2017
Last Update Date	:	10/13/2017

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