1598889859 NPI number — MARGARET R LINN LPC / LCADC

Table of content: MARGARET R LINN LPC / LCADC (NPI 1598889859)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598889859 NPI number — MARGARET R LINN LPC / LCADC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINN
Provider First Name:
MARGARET
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC / LCADC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598889859
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2900 FIRE RD
Provider Second Line Business Mailing Address:
SUITE 100B
Provider Business Mailing Address City Name:
EGG HARBOR TWP
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08234-4075
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-365-7158
Provider Business Mailing Address Fax Number:
609-390-8647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 FIRE ROAD
Provider Second Line Business Practice Location Address:
SUITE 100B
Provider Business Practice Location Address City Name:
EGG HARBOR TOWNSHIP
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-365-7158
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  37LC00184800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 37PC00290500 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: MH8921 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 37PC00290500 . This is a "MENTAL HEALTH COUNSELOR" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: MH8921 . This is a "MENTAL HEALTH COUNSELOR" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 37LC00184800 . This is a "MENTAL HEALTH COUNSELOR" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".