Provider Demographics
NPI:1588056162
Name:ARCHER, LINDSAY (MA, LPCC, LADC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:ARCHER
Suffix:
Gender:F
Credentials:MA, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 N RIVERFRONT DR STE 230
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3740
Mailing Address - Country:US
Mailing Address - Phone:507-720-0464
Mailing Address - Fax:
Practice Address - Street 1:530 N RIVERFRONT DR STE 230
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3740
Practice Address - Country:US
Practice Address - Phone:507-720-0464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN975101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional