Provider Demographics
NPI:1730529751
Name:LATIMER, LINDA (LMHC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:LATIMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2155 BELOTE PL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-3363
Mailing Address - Country:US
Mailing Address - Phone:904-554-6841
Mailing Address - Fax:
Practice Address - Street 1:2155 BELOTE PL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-3363
Practice Address - Country:US
Practice Address - Phone:904-554-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health