Provider Demographics
NPI:1952431488
Name:LINDSEY, GREGORY LAWRENCE SR (MA M DIV CADC SAT)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:LAWRENCE
Last Name:LINDSEY
Suffix:SR
Gender:M
Credentials:MA M DIV CADC SAT
Other - Prefix:MR
Other - First Name:GREGORY
Other - Middle Name:LAWRENCE
Other - Last Name:LINDSEY
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32167 HEAVENLY CT
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-3794
Mailing Address - Country:US
Mailing Address - Phone:313-310-5482
Mailing Address - Fax:
Practice Address - Street 1:707 W MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2943
Practice Address - Country:US
Practice Address - Phone:313-310-5482
Practice Address - Fax:313-267-0549
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)