=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487500708
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FLEXIBLE MINDS PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/09/2026
-----------------------------------------------------
Last Update Date | 03/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 806 HASTINGS ST STE J
-----------------------------------------------------
City | TRAVERSE CITY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49686-3400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-580-8582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 806 HASTINGS ST STE J
-----------------------------------------------------
City | TRAVERSE CITY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49686-3400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-580-8582
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LINDSAY MARIE LORSON
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 231-580-8582
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------