Provider Demographics
NPI:1174646020
Name:FALKNER, LINDA J (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:FALKNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9325 BAY PLAZA BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-4497
Mailing Address - Country:US
Mailing Address - Phone:813-620-4900
Mailing Address - Fax:813-620-4991
Practice Address - Street 1:9325 BAY PLAZA BLVD STE 209
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4497
Practice Address - Country:US
Practice Address - Phone:813-620-4900
Practice Address - Fax:813-620-4991
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8826101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health