Provider Demographics
NPI:1962847491
Name:BAZZEL, LINDSIE (LMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:LINDSIE
Middle Name:
Last Name:BAZZEL
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:LINDSIE
Other - Middle Name:
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:142 ANNIE WAY
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-2560
Mailing Address - Country:US
Mailing Address - Phone:954-594-2512
Mailing Address - Fax:
Practice Address - Street 1:142 ANNIE WAY
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-2560
Practice Address - Country:US
Practice Address - Phone:954-594-2512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11757101YA0400X, 101YM0800X
TNLPC0000004720101YA0400X, 101YM0800X
NJ37PC00640100101YA0400X
IN39003655A101YA0400X, 101YM0800X
PAPC009649101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)