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General NPI Number Information
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NPI Number | 1063279396
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Entity Type | Individual
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Provider Name | LINDSAY CHANDLER WILLEN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1460 WALTON BLVD STE 60
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1729
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Country | US
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Telephone | 248-608-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 E MELTON RD
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City | BIRMINGHAM
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State | MI
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Zip | 48009-7706
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Country | US
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Telephone | 248-930-0167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6451023529
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License Number State | MI
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