Provider Demographics
NPI:1730406091
Name:METTS, LINDSEY C
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:C
Last Name:METTS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:C
Other - Last Name:BLANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5242 PLAIN FIELD AVE NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525
Mailing Address - Country:US
Mailing Address - Phone:616-363-2200
Mailing Address - Fax:616-363-5337
Practice Address - Street 1:5242 PLAIN FIELD AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525
Practice Address - Country:US
Practice Address - Phone:616-363-2200
Practice Address - Fax:616-363-5337
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801014261103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent