Provider Demographics
NPI:1235980715
Name:GONZALEZ, LINDA NICOLE
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:NICOLE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18102 TALAVERA RDG APT 2121
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-2611
Mailing Address - Country:US
Mailing Address - Phone:210-712-9392
Mailing Address - Fax:
Practice Address - Street 1:7171 HIGHWAY 6 N STE 211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5622
Practice Address - Country:US
Practice Address - Phone:346-377-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical