Provider Demographics
NPI:1396315453
Name:LINDSAY, ALEX C (LLMSW)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:C
Last Name:LINDSAY
Suffix:
Gender:M
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 E WEST MAPLE RD # 100
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-3571
Mailing Address - Country:US
Mailing Address - Phone:248-313-2900
Mailing Address - Fax:248-313-2905
Practice Address - Street 1:1010 E MAPLE
Practice Address - Street 2:SUITE 100
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48309
Practice Address - Country:US
Practice Address - Phone:248-313-2900
Practice Address - Fax:248-313-2905
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-30
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011085401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical