Provider Demographics
NPI:1649348079
Name:STRAHAN, LINDA CAROL (PHD, MDIV, LMHC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CAROL
Last Name:STRAHAN
Suffix:
Gender:F
Credentials:PHD, MDIV, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 KAY ST
Mailing Address - Street 2:GATEWAY RESOURCES, INC.
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2835
Mailing Address - Country:US
Mailing Address - Phone:401-846-1988
Mailing Address - Fax:401-847-5153
Practice Address - Street 1:103 KAY ST
Practice Address - Street 2:GATEWAY RESOURCES, INC.
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2835
Practice Address - Country:US
Practice Address - Phone:401-846-1988
Practice Address - Fax:401-847-5153
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI#25101YM0800X
101YP1600X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional