MEDICARE: MRS. DIPTI LINCOLN LMHC

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	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor	MH14453	FL

General Provider Information

NPI Number	:	1275015356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DIPTI LINCOLN LMHC

Provider Business Mailing Address
First Line	:	1720 S ORANGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2945
Country	:	US
Telephone Number	:	321-842-9000
Fax Number	:	321-843-6324

Provider Business Practice Location Address
First Line	:	1720 S ORANGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-2945
Country	:	US
Telephone Number	:	321-842-9000
Fax Number	:	321-843-6326

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

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	07/26/2023

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