Provider Demographics
NPI:1376099911
Name:MARGOSIAN, LINDA MARIE (MS, NCC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:MARGOSIAN
Suffix:
Gender:F
Credentials:MS, NCC, LMHC
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:MAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, LMHC
Mailing Address - Street 1:8128 HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-2029
Mailing Address - Country:US
Mailing Address - Phone:724-328-1361
Mailing Address - Fax:
Practice Address - Street 1:8128 HARRISON DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-2029
Practice Address - Country:US
Practice Address - Phone:724-328-1361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003057A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health