Provider Demographics
NPI:1518019355
Name:O'KEEFE, LINDSAY JONES (LCMHA (LPC))
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:JONES
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:LCMHA (LPC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 HECK CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-0057
Mailing Address - Country:US
Mailing Address - Phone:828-699-5943
Mailing Address - Fax:
Practice Address - Street 1:814 HECK CREEK RD
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-0057
Practice Address - Country:US
Practice Address - Phone:828-699-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5222101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103210Medicaid