Provider Demographics
NPI:1518104041
Name:SMITH, LINDSEY DAWN (MA, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:DAWN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:DAWN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:905 S. LAKE JESSUP AVE.
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765
Mailing Address - Country:US
Mailing Address - Phone:407-617-7881
Mailing Address - Fax:407-542-8795
Practice Address - Street 1:905 S. LAKE JESSUP AVE.
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765
Practice Address - Country:US
Practice Address - Phone:407-617-7881
Practice Address - Fax:407-542-8795
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 7062101YM0800X
FLMH10477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health