Provider Demographics
NPI:1588939128
Name:LARKIN, LINDA (MA, MBA, LPC, ATR)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LARKIN
Suffix:
Gender:F
Credentials:MA, MBA, LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80160-0207
Mailing Address - Country:US
Mailing Address - Phone:303-475-9105
Mailing Address - Fax:
Practice Address - Street 1:609 W LITTLETON BLVD STE 312
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-475-9105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-15
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18-073221700000X
CO12819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist