Provider Demographics
NPI:1083807119
Name:THOMPSON, LINDA D (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:THOMPSON
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 1:333 FREEPORT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-2310
Mailing Address - Country:US
Mailing Address - Phone:713-637-6000
Mailing Address - Fax:713-637-6009
Practice Address - Street 1:333 FREEPORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-2310
Practice Address - Country:US
Practice Address - Phone:713-637-6000
Practice Address - Fax:713-637-6009
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17101101YP2500X
LAMFT717106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist