Healthcare Provider Details

I. General information

NPI: 1245765007
Provider Name (Legal Business Name): MISS LINDSEY THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2017
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25050 PEACHLAND AVE STE 255
NEWHALL CA
91321-5761
US

IV. Provider business mailing address

25050 PEACHLAND AVE STE 255
NEWHALL CA
91321-5761
US

V. Phone/Fax

Practice location:
  • Phone: 714-261-5181
  • Fax: 818-356-4380
Mailing address:
  • Phone: 714-261-5181
  • Fax: 818-356-4380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: