Healthcare Provider Details

I. General information

NPI: 1700719101
Provider Name (Legal Business Name): LINDSAY N MAUSOLF M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3401 45TH ST S
FARGO ND
58104-8970
US

IV. Provider business mailing address

4826 UNIVERSITY DR S
FARGO ND
58104-6407
US

V. Phone/Fax

Practice location:
  • Phone: 701-356-4384
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: