Provider Demographics
NPI:1962988477
Name:GREENMAN, LINDSAY (LPC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:GREENMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 N GILBERT RD STE B140
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-4750
Mailing Address - Country:US
Mailing Address - Phone:602-791-7425
Mailing Address - Fax:
Practice Address - Street 1:459 N GILBERT RD STE B140
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4750
Practice Address - Country:US
Practice Address - Phone:602-791-7425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional