Provider Demographics
NPI:1235888736
Name:CHRISTIAN, LINDSEY ROBIN (LCSW)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ROBIN
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4566 E HIGHWAY 20 STE 104
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-8839
Mailing Address - Country:US
Mailing Address - Phone:850-842-2424
Mailing Address - Fax:850-842-3094
Practice Address - Street 1:4566 E HIGHWAY 20 STE 104
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8839
Practice Address - Country:US
Practice Address - Phone:850-842-2424
Practice Address - Fax:850-842-3094
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW18514101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health