Smith, Linda C

Smith, Linda C is an individual health care provider with primary practice located at 6413 Constitution Dr , Fort Wayne IN 46804-1549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Smith, Linda C can be contacted via phone (260) 755-5495.

Contact Information

Primary practice address
6413 Constitution Dr Fort Wayne IN 46804-1549
Phone: (260) 755-5495
Fax: (260) 755-5947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 35001446A Indiana
Behavioral Health & Social Service Providers / Counselor 101Y00000X 39000209A Indiana

Profile Details

NPI number 1568457737
LBN Legal business name Smith, Linda C
Credentials LMFT LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 27th, 2017 - about 7 years ago

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 1568457737 NPPES
Other 267336000 MAGELLAN BEHAVIORAL HEALT
Other 000000311148 MAGELLAN BEHAVIORAL HEALT
Other 0007789215 MAGELLAN BEHAVIORAL HEALT
Other 2043493 MAGELLAN BEHAVIORAL HEALT

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