Provider Demographics
NPI:1033569884
Name:HYMEL, LINDSY (QASP)
Entity Type:Individual
Prefix:
First Name:LINDSY
Middle Name:
Last Name:HYMEL
Suffix:
Gender:F
Credentials:QASP
Other - Prefix:
Other - First Name:LINDSY
Other - Middle Name:
Other - Last Name:RICHARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10175 FORTUNE PKWY UNIT 903
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6755
Mailing Address - Country:US
Mailing Address - Phone:904-538-0713
Mailing Address - Fax:904-538-0714
Practice Address - Street 1:624 PONDER PLACE DR STE 903
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3343
Practice Address - Country:US
Practice Address - Phone:706-863-9699
Practice Address - Fax:904-538-0714
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst