Organization
LINDSEYJOHNSONLMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY JOHNSON LMFT (OWNER/THERAPIST)
(612) 444-3785
Entity
Organization
Contact information
Practice address
6636 CEDAR AVE S, SUITE 380, RICHFIELD, MN 55423-2705
(612) 444-3785
(612) 223-6735
Mailing address
10030 BLAISDELL AVE S, BLOOMINGTON, MN 55420-4836
(612) 444-3785
(612) 223-6735
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2245
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689812299
NPI INDIVIDUAL
MN
Enumeration date
11/10/2016
Last updated
12/15/2016
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