MEDICARE: LINDSAY ARMITAGE PSYD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1598321119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSAY ARMITAGE PSYD LLC

Provider Business Mailing Address
First Line	:	PO BOX 20193
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-0193
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 AUBURN AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-3024
Country	:	US
Telephone Number	:	513-276-4400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSAY ARMITAGE
Credential	:
Telephone Number	:	513-276-4400

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	05/20/2019

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