Healthcare Provider Details

I. General information

NPI: 1134088990
Provider Name (Legal Business Name): LINDSEY JO ROBINSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/19/2026
Certification Date: 01/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 W HOLMES RD STE 2
LANSING MI
48910-0376
US

IV. Provider business mailing address

1611 CLIFTON AVE
LANSING MI
48910-1808
US

V. Phone/Fax

Practice location:
  • Phone: 517-582-3703
  • Fax:
Mailing address:
  • Phone: 517-331-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024774
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: