Provider Demographics
NPI:1083385322
Name:ENGLISH, LINDA R (QMHP, BS, MA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:R
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:QMHP, BS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 LUCK AVE SW
Mailing Address - Street 2:SUITE 209B
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-5055
Mailing Address - Country:US
Mailing Address - Phone:540-588-1328
Mailing Address - Fax:
Practice Address - Street 1:541 LUCK AVE SW
Practice Address - Street 2:STE 209B
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-5055
Practice Address - Country:US
Practice Address - Phone:540-588-1328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker