Provider Demographics
NPI:1255204913
Name:PUGH, LINDSAY ALEXANDRA
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALEXANDRA
Last Name:PUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2113 BRANDONVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-3908
Mailing Address - Country:US
Mailing Address - Phone:804-592-1383
Mailing Address - Fax:
Practice Address - Street 1:1108 E MAIN ST STE 701
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3534
Practice Address - Country:US
Practice Address - Phone:804-608-6577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040191541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical