Healthcare Provider Details

I. General information

NPI: 1285511576
Provider Name (Legal Business Name): DANIELLE LEE LINDNER LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 RIVER RD
GRAND RAPIDS MN
55744-4085
US

IV. Provider business mailing address

1880 RIVER RD
GRAND RAPIDS MN
55744-4085
US

V. Phone/Fax

Practice location:
  • Phone: 218-327-3000
  • Fax: 218-999-7068
Mailing address:
  • Phone: 218-327-3000
  • Fax: 218-999-7068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number31522
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: