Provider Demographics
NPI:1659746717
Name:LINDELL CONSULTING, LLC
Entity Type:Organization
Organization Name:LINDELL CONSULTING, LLC
Other - Org Name:LINDELL CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:D
Authorized Official - Last Name:LINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:218-444-3151
Mailing Address - Street 1:702 5TH ST NW
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56601-2976
Mailing Address - Country:US
Mailing Address - Phone:218-444-3151
Mailing Address - Fax:218-444-3921
Practice Address - Street 1:702 5TH ST NW
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-2976
Practice Address - Country:US
Practice Address - Phone:218-444-3151
Practice Address - Fax:218-444-3921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3756084261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1033364245Medicaid
MN8HK692OtherMEDICARE TPAN
1033364245OtherINDIVIDUAL NPI NUMBER
MN8HK692OtherMEDICARE TPAN