1376099911 NPI number — MS. LINDA MARIE MARGOSIAN MS, NCC, LMHC

Table of content: MS. LINDA MARIE MARGOSIAN MS, NCC, LMHC (NPI 1376099911)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376099911 NPI number — MS. LINDA MARIE MARGOSIAN MS, NCC, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARGOSIAN
Provider First Name:
LINDA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, NCC, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MAGER
Provider Other First Name:
LINDA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, NCC, LMHC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376099911
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8128 HARRISON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46226-2029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-328-1361
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8128 HARRISON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46226-2029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-328-1361
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2016

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: 101YM0800X , with the licence number:  39003057A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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