Provider Demographics
NPI:1336635689
Name:WHITE, LINDA CHRISTINE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CHRISTINE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6820 BROADLEAF DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77708-2333
Mailing Address - Country:US
Mailing Address - Phone:409-291-9238
Mailing Address - Fax:
Practice Address - Street 1:6820 BROADLEAF DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-2333
Practice Address - Country:US
Practice Address - Phone:409-291-9238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332982101YP2500X
TX74571101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional