=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407404494
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDI K RIGG LMHC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/03/2019
-----------------------------------------------------
Last Update Date | 09/03/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2352 BRUCE B DOWNS BLVD STE 304
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33544-9203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-973-1304
-----------------------------------------------------
Fax | 813-355-5024
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 38135 MARKET SQ
-----------------------------------------------------
City | ZEPHYRHILLS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33542-7505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-567-0188
-----------------------------------------------------
Fax | 813-355-5101
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | MH17192
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------