Provider Information for 1285323170
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LINDSEY A VENNARD LCSW
Sex: Female
NPI: 1285323170
Last Updated: 2023-05-05
Certification Date: 2023-05-05
Certification Date: 2023-05-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1285323170 | ||||||||
| Enumeration Date | 2023-05-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1518 CALLAHAN, FL 32011-1518 United States Phone: 904-327-9389 | Fax: | ||||||||
| Primary Practice Address | 87003 PROFESSIONAL WAY YULEE, FL 32097-3400 United States Phone: 904-849-1190 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|