Provider Information for 1316618341
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
ELIZABETH MARIE LINDELL M.S., LMHC, QCS
Other Names:Former Name:ELIZABETH MARIE LINDELLSex: Female
NPI: 1316618341
Last Updated: 2024-12-17
Certification Date: 2024-12-17
Certification Date: 2024-12-17
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1316618341 | ||||||||
Enumeration Date | 2021-09-21 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 749 CREEKWATER TER APT 107 LAKE MARY, FL 32746-6716 United States Phone: 952-288-3498 | Fax: | ||||||||
Primary Practice Address | 125 WAX MYRTLE DR SANFORD, FL 32773-5641 United States Phone: 952-288-3498 | Fax: | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|