# LINDSEY DEROUSSE COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396551321
- **Authorized official:** LINDSEY DEROUSSE LMSW (PRESIDENT)
- **Authorized official phone:** (231) 944-3112

## Contact information

- **Practice address:** 206 TERRACE DR, ROSCOMMON, MI 48653-2507
- **Practice address phone:** (231) 944-3112
- **Mailing address:** 206 TERRACE DR, ROSCOMMON, MI 48653-2507
- **Mailing address phone:** (989) 312-3921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024
