MEDICARE: LINDSAY E. BALLINGER LPC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	63183	TX
2	101YM0800X	Mental Health Counselor	63183	TX
3	103TC0700X	Clinical Psychologist	38536	TX

General Provider Information

NPI Number	:	1851564983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY E. BALLINGER LPC

Provider Business Mailing Address
First Line	:	1402 S CUSTER RD STE 803
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-1453
Country	:	US
Telephone Number	:	214-662-4846
Fax Number	:	469-625-2218

Provider Business Practice Location Address
First Line	:	1402 S CUSTER RD STE 803
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-1453
Country	:	US
Telephone Number	:	214-662-4846
Fax Number	:	469-625-2218

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

Provider Enumeration Date	:	04/09/2008
Last Update Date	:	07/23/2022

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