Provider Demographics
NPI:1538630058
Name:STALLINGS, KAITLIN LINDSAY (LMHC)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:LINDSAY
Last Name:STALLINGS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8520 ALLISON POINTE BLVD
Mailing Address - Street 2:STE 223 PMB 91222
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-9767
Mailing Address - Country:US
Mailing Address - Phone:812-805-0477
Mailing Address - Fax:855-940-0157
Practice Address - Street 1:8520 ALLISON POINTE BLVD
Practice Address - Street 2:STE 223 PMB 91222
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2073
Practice Address - Country:US
Practice Address - Phone:812-805-0477
Practice Address - Fax:855-940-0157
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN39003986A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health