Provider Demographics
NPI:1144300807
Name:LEVIN, LINDA M (LCSW, BCD,)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:M
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LCSW, BCD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OFFICE PARK CIR STE 304
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2542
Mailing Address - Country:US
Mailing Address - Phone:205-871-2322
Mailing Address - Fax:205-870-4177
Practice Address - Street 1:6 OFFICE PARK CIR STE 304
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2542
Practice Address - Country:US
Practice Address - Phone:205-871-2322
Practice Address - Fax:205-870-4177
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0666C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health