Provider Demographics
NPI:1144454844
Name:LINDA S. O'TOOLE, P.A.
Entity type:Organization
Organization Name:LINDA S. O'TOOLE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL ASSOCIATE
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:O'TOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-532-8269
Mailing Address - Street 1:777 WALTER REED BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5727
Mailing Address - Country:US
Mailing Address - Phone:214-532-8269
Mailing Address - Fax:972-494-3062
Practice Address - Street 1:777 WALTER REED BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5727
Practice Address - Country:US
Practice Address - Phone:214-532-8269
Practice Address - Fax:972-494-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1781841Medicaid