Healthcare Provider Details

I. General information

NPI: 1649169319
Provider Name (Legal Business Name): LINDI SEGURA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7443 JACKMAN RD
TEMPERANCE MI
48182-9223
US

IV. Provider business mailing address

6322 WESLEY DR
TEMPERANCE MI
48182-1129
US

V. Phone/Fax

Practice location:
  • Phone: 662-722-1255
  • Fax:
Mailing address:
  • Phone: 662-722-1255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: