Provider Demographics
NPI:1093161044
Name:GREENLUN, LINDSEY (LMFT, LADC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:GREENLUN
Suffix:
Gender:F
Credentials:LMFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 S SIBLEY AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355-2831
Mailing Address - Country:US
Mailing Address - Phone:320-434-3426
Mailing Address - Fax:
Practice Address - Street 1:125 S SIBLEY AVE STE 5
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355-2831
Practice Address - Country:US
Practice Address - Phone:320-434-3426
Practice Address - Fax:320-323-1782
Is Sole Proprietor?:No
Enumeration Date:2016-05-09
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303754101YA0400X
MN3833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)