Mikesic, Linda

Mikesic, Linda is an sole proprietor health care provider with primary practice located at 5524 Bee Caves Rd Ste H2 , West Lake Hills TX 78746-5246. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mikesic, Linda can be contacted via phone (512) 710-0551.

Contact Information

Primary practice address
5524 Bee Caves Rd Ste H2 West Lake Hills TX 78746-5246
Phone: (512) 710-0551
Fax: (512) 717-6337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8447 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 30431 Texas

Profile Details

NPI number 1104161181
LBN Legal business name Mikesic, Linda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2012
Last updated Oct 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104161181 NPPES
Texas MEDICAID 355943701
Texas Other 1457753287
Texas MEDICAID 353481001
Texas Other 30431

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