Provider Demographics
NPI:1225314628
Name:YANCEY, LINDA J (LMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:YANCEY
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 1:9027 DREAM WAY
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33773-4747
Mailing Address - Country:US
Mailing Address - Phone:727-748-6490
Mailing Address - Fax:
Practice Address - Street 1:12945 SEMINOLE BLVD
Practice Address - Street 2:SCHMIDT EXECUTIVE SUITES BLDG ONE SUITE 12
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33778-2319
Practice Address - Country:US
Practice Address - Phone:727-748-6490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9380101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health