Provider Demographics
NPI:1669175311
Name:LINDLEY, EMILY (LPC, CSAYC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:LPC, CSAYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 33045
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-9998
Mailing Address - Country:US
Mailing Address - Phone:704-737-7481
Mailing Address - Fax:
Practice Address - Street 1:5270 E 115TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-5838
Practice Address - Country:US
Practice Address - Phone:704-737-7481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-22
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0021224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty