Provider Demographics
NPI:1851713523
Name:MOSER, LINDSAY (LMFT, LAC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:MOSER
Suffix:
Gender:F
Credentials:LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 WOODMOOR DR STE 102
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-9083
Mailing Address - Country:US
Mailing Address - Phone:719-622-6522
Mailing Address - Fax:719-622-6520
Practice Address - Street 1:1840 WOODMOOR DR STE 102
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-9083
Practice Address - Country:US
Practice Address - Phone:719-622-6522
Practice Address - Fax:719-622-6520
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CO0001170106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)