Provider Demographics
NPI:1467130708
Name:BELTOWSKI, LINDSAY N
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:N
Last Name:BELTOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6821 MEDBURY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48211-3317
Mailing Address - Country:US
Mailing Address - Phone:313-922-2222
Mailing Address - Fax:866-287-5710
Practice Address - Street 1:6821 MEDBURY ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48211-3317
Practice Address - Country:US
Practice Address - Phone:313-922-2222
Practice Address - Fax:866-287-5710
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)