Provider Demographics
NPI:1649632548
Name:AMTOFT, LINDSEY (LMFT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:AMTOFT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LYNDSIE
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:21 ALMA CT
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-3374
Mailing Address - Country:US
Mailing Address - Phone:415-320-0277
Mailing Address - Fax:
Practice Address - Street 1:21 ALMA CT
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3374
Practice Address - Country:US
Practice Address - Phone:415-320-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53832106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist