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NPI Code Detail

MEDICARE: HEATHER LESLIE LINDO LCSW

MEDICARE:   HEATHER LESLIE LINDO  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1193400000XSingle Specialty GroupSW13438FL
21041C0700XClinical Social WorkerSW13438FL

Other Identifiers

General Provider Information

NPI Number : 1215138300
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LESLIE LINDO LCSW
Provider Business Mailing Address
First Line : 4327 S HWY 27
Second Line : PMB 203
City : CLERMONT
State : FL
Zip : 34711
Country : US
Telephone Number : 704-706-4528
Fax Number : 704-749-8612
Provider Business Practice Location Address
First Line : 17011 STATE ROAD 50 STE 301
Second Line :
City : CLERMONT
State : FL
Zip : 34711-8203
Country : US
Telephone Number : 833-769-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 06/20/2024

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Directions to “ HEATHER LESLIE LINDO LCSW” Practice Location

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