Provider Demographics
NPI:1871170266
Name:LINDSAY MACLEAN-RUSSELL LMHC, LLC
Entity type:Organization
Organization Name:LINDSAY MACLEAN-RUSSELL LMHC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACLEAN-RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-393-0059
Mailing Address - Street 1:225 WATER ST STE B239
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4080
Mailing Address - Country:US
Mailing Address - Phone:978-393-0059
Mailing Address - Fax:
Practice Address - Street 1:225 WATER ST STE B239
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4080
Practice Address - Country:US
Practice Address - Phone:978-393-0059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty