Healthcare Provider Details

I. General information

NPI: 1982216040
Provider Name (Legal Business Name): LINDSEY HALL MENENDEZ LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 S 800 E
RIVER HEIGHTS UT
84321-5600
US

IV. Provider business mailing address

540 S 800 E
RIVER HEIGHTS UT
84321-5600
US

V. Phone/Fax

Practice location:
  • Phone: 208-709-4553
  • Fax:
Mailing address:
  • Phone: 208-709-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number12611257-3902
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: