Organization
PETINA COLLIER LINDSEY
Active
Other names
Lindsey Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
PETINA COLLIER LINDSEY MSW (THERAPIST)
(314) 322-3326
Entity
Organization
Contact information
Practice address
2536 OLD HIGHWAY 94 S., SUITE #220, ST.. CHARLES, MO 63303-5612
(636) 922-2000
(636) 329-0994
Mailing address
2536 OLD HIGHWAY 94 S., SUITE #220, ST.. CHARLES, MO 63303-5612
(636) 922-2000
(636) 329-0994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005699
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494653421
—
MO
01
—
MA2556
MEDICARE
MO
Enumeration date
10/07/2010
Last updated
10/07/2010
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