Provider Demographics
NPI:1588998116
Name:MCDANIEL, LINDSAY ANN (MHS, CRC, RMHCI)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:MHS, CRC, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11393 ELLISON WILSON RD APT A
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3103
Mailing Address - Country:US
Mailing Address - Phone:317-523-2003
Mailing Address - Fax:
Practice Address - Street 1:7410 S US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-1432
Practice Address - Country:US
Practice Address - Phone:772-340-5044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH7601101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health