Basic Information
| Provider Information | |||||||||
| NPI: | 1376176677 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GEBEL | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MA, LCMHCA, NCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 19893 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282190893 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7049750703 | ||||||||
| FaxNumber: | 7049737755 | ||||||||
| Practice Location | |||||||||
| Address1: | 9624 BAILEY RD STE 290 | ||||||||
| Address2: | |||||||||
| City: | CORNELIUS | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280316120 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7045640300 | ||||||||
| FaxNumber: | 4256962262 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2020 | ||||||||
| LastUpdateDate: | 02/15/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | A11916 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.