Provider Demographics
NPI:1316618341
Name:LINDELL, ELIZABETH MARIE (MS, LMHC, QCS)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARIE
Last Name:LINDELL
Suffix:
Gender:F
Credentials:MS, LMHC, QCS
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:MARIE
Other - Last Name:LINDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:749 CREEKWATER TER APT 107
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-6716
Mailing Address - Country:US
Mailing Address - Phone:952-288-3498
Mailing Address - Fax:
Practice Address - Street 1:125 WAX MYRTLE DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32773-5641
Practice Address - Country:US
Practice Address - Phone:952-288-3498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18956101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health