Provider Demographics
NPI:1043470263
Name:VIERRA, LINDAMAY (LPC)
Entity Type:Individual
Prefix:DR
First Name:LINDAMAY
Middle Name:
Last Name:VIERRA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 TURKEY TROT
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-4010
Mailing Address - Country:US
Mailing Address - Phone:956-435-1551
Mailing Address - Fax:
Practice Address - Street 1:1565 TURKEY TROT
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4010
Practice Address - Country:US
Practice Address - Phone:956-435-1551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2023-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58958101YP2500X, 101YP2500X, 101YP2500X
TX32034103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104370263Medicaid