Provider Demographics
NPI:1861546616
Name:WILKINS, LINDA PAULINE (MFT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:PAULINE
Last Name:WILKINS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2813 PEPPERELL PKWY
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6125
Mailing Address - Country:US
Mailing Address - Phone:334-741-8007
Mailing Address - Fax:334-741-8810
Practice Address - Street 1:2813 PEPPERELL PKWY
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6125
Practice Address - Country:US
Practice Address - Phone:334-741-8007
Practice Address - Fax:334-741-8810
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALL197106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist