Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 62635 | TX |
NPI | 1003042813 |
---|---|
Provider Name | Mrs. Lyndsay Nicole Baxley |
First Address | Spring, TX 77373-9115 |
Second Address | Spring, TX 77373-9115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2009 |
Last Update Date | 08/06/2009 |