Healthcare Provider Details

I. General information

NPI: 1942110960
Provider Name (Legal Business Name): MICHELLE LINDSAY LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 N 300 E
ESCALANTE UT
84726-7888
US

IV. Provider business mailing address

PO BOX 73
ESCALANTE UT
84726-0073
US

V. Phone/Fax

Practice location:
  • Phone: 435-616-4884
  • Fax:
Mailing address:
  • Phone: 435-616-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5270869-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: