Healthcare Provider Details

I. General information

NPI: 1558266882
Provider Name (Legal Business Name): ELIZABETH LINDGREN PSYCHOTHERAPY AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3209 INGERSOLL AVE STE 100
DES MOINES IA
50312-3920
US

IV. Provider business mailing address

4023 UNIVERSITY AVE APT 1
DES MOINES IA
50311-3550
US

V. Phone/Fax

Practice location:
  • Phone: 515-207-1705
  • Fax:
Mailing address:
  • Phone: 515-351-0669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ELIZABETH MARIA LINDGREN
Title or Position: OWNER
Credential: LISW
Phone: 515-351-0669