Healthcare Provider Details

I. General information

NPI: 1942606504
Provider Name (Legal Business Name): LINDSEY AFTON M.A., LMFT, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 FULTON ST E STE 28
GRAND RAPIDS MI
49503-3262
US

IV. Provider business mailing address

233 FULTON ST E STE 28
GRAND RAPIDS MI
49503-3262
US

V. Phone/Fax

Practice location:
  • Phone: 616-228-9244
  • Fax:
Mailing address:
  • Phone: 616-228-9244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401014533
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101006626
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: