institution
Lindsay P. South, Ma Pllc
Mental Health Counselor in Portage, Michigan
NPI 1346600947

Lindsay P. South, Ma Pllc is a Mental Health Counselor based in Portage, MI and is specialized in Mental Health. Lindsay P. South, Ma Pllc practices in Portage, MI. The NPI Number for Lindsay P. South, Ma Pllc is 1346600947 and holds a License No. 6401005843 (Michigan).

The current practice location address for Lindsay P. South, Ma Pllc is 1591 W Centre Ave, Portage, MI and can be reached out via phone at 269-323-2553.

Location: 1591 W Centre Ave, Portage, MI, 49024-5342
institution
Provider Profile Details
NPI Number
1346600947
Provider Name
Lindsay P. South, Ma Pllc
Credential
Provider Entity Type
Organization
Address
1591 W Centre Ave, Portage, MI, 49024-5342
Phone Number
269-323-2553
Fax Number
Provider Enumeration Date
02/25/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942396205 01 MI INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1591 W Centre Ave
City
State
Zip
49024-6314
Phone Number
269-323-2553
Fax Number
person
Provider Business Mailing Address Details
Address
1591 W Centre Ave
City
State
Zip
49024-6314
Phone Number
269-323-2553
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6401005843 (Michigan)
Definition
Definition to come...
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