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1639732019

NPI Code Detail

MEDICARE: LINDSAY SCOFFIL

MEDICARE: LINDSAY SCOFFIL

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	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639732019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY SCOFFIL

Provider Business Mailing Address
First Line	:	7200 PINNACLE DR APT K3
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3732
Country	:	US
Telephone Number	:	239-265-7987
Fax Number	:

Provider Business Practice Location Address
First Line	:	3049 CLEVELAND AVE STE 290
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-7054
Country	:	US
Telephone Number	:	239-265-7987
Fax Number	:

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

Provider Enumeration Date	:	04/21/2019
Last Update Date	:	04/21/2019

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Directions to “ LINDSAY SCOFFIL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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