Healthcare Provider Details

I. General information

NPI: 1013826650
Provider Name (Legal Business Name): LINDSEY BABCOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 N NOVA RD STE 212
ORMOND BEACH FL
32174-4422
US

IV. Provider business mailing address

624 BATTERSEA DR
ST AUGUSTINE FL
32095-8432
US

V. Phone/Fax

Practice location:
  • Phone: 386-299-6043
  • Fax:
Mailing address:
  • Phone: 386-299-6043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH24548
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: