Provider Demographics
NPI:1942082847
Name:ENSELL, LINDSAY A (MS, RMHCI)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:ENSELL
Suffix:
Gender:F
Credentials:MS, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9413 HUNTERS POND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2560
Mailing Address - Country:US
Mailing Address - Phone:731-234-7191
Mailing Address - Fax:
Practice Address - Street 1:9413 HUNTERS POND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2560
Practice Address - Country:US
Practice Address - Phone:731-234-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH19920101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health