MEDICARE: MISS LINDSEY THOMAS

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
1	363A00000X	Physician Assistant
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1245765007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LINDSEY THOMAS

Provider Business Mailing Address
First Line	:	25050 PEACHLAND AVE STE 255
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-5761
Country	:	US
Telephone Number	:	714-261-5181
Fax Number	:	818-356-4380

Provider Business Practice Location Address
First Line	:	25050 PEACHLAND AVE STE 255
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-5761
Country	:	US
Telephone Number	:	714-261-5181
Fax Number	:	818-356-4380

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2017
Last Update Date	:	03/12/2026

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Directions to “ MISS LINDSEY THOMAS ” Practice Location

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