Provider Demographics
NPI:1194849000
Name:SAFRANEK, LINDA V (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:V
Last Name:SAFRANEK
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 1:4514 BROOK SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-3016
Mailing Address - Country:US
Mailing Address - Phone:281-360-8569
Mailing Address - Fax:
Practice Address - Street 1:1521 GREEN OAK PL
Practice Address - Street 2:SUITE 208
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2057
Practice Address - Country:US
Practice Address - Phone:713-267-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59975101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional