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NPI Code Detail

MEDICARE: LINDSEY GAGE LCMHC

MEDICARE: LINDSEY GAGE LCMHC
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
1101YM0800XMental Health Counselor15782NC

General Provider Information

NPI Number : 1891284758
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY GAGE LCMHC
Provider Business Mailing Address
First Line : 6302 FAIRVIEW RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-2227
Country : US
Telephone Number : 704-584-9897
Fax Number : 704-270-9610
Provider Business Practice Location Address
First Line : 6302 FAIRVIEW RD STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-2227
Country : US
Telephone Number : 704-584-9897
Fax Number : 704-270-9610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2018
Last Update Date : 02/17/2025

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Directions to “ LINDSEY GAGE LCMHC” Practice Location

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