Provider Demographics
NPI:1598265654
Name:LINDELL, KATEY MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:KATEY
Middle Name:MARIE
Last Name:LINDELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 MILLPOND CT
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-1316
Mailing Address - Country:US
Mailing Address - Phone:612-250-7620
Mailing Address - Fax:
Practice Address - Street 1:1107 HAZELTINE BLVD STE 471
Practice Address - Street 2:
Practice Address - City:CHASKA
Practice Address - State:MN
Practice Address - Zip Code:55318-1067
Practice Address - Country:US
Practice Address - Phone:612-712-3891
Practice Address - Fax:952-206-6675
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-15
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3087106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist