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NPI Code Detail

MEDICARE: MRS. LINDSEY PYATT MAYKOWSKI MA

MEDICARE: MRS. LINDSEY PYATT MAYKOWSKI MA
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
1390200000XStudent in an Organized Health Care Education/Training Program
2101YM0800XMental Health Counselor0701007281VA

General Provider Information

NPI Number : 1215304787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDSEY PYATT MAYKOWSKI MA
Provider Business Mailing Address
First Line : 3760 UPLAND RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-7927
Country : US
Telephone Number : 757-202-0935
Fax Number :
Provider Business Practice Location Address
First Line : 1064 LASKIN RD STE 14C
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-6337
Country : US
Telephone Number : 757-233-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2015
Last Update Date : 02/06/2026

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