Provider Demographics
NPI:1407948466
Name:HARTSON, LINDA C (LPC LMFT, LMSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:C
Last Name:HARTSON
Suffix:
Gender:F
Credentials:LPC LMFT, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5208 MENSIK RD
Mailing Address - Street 2:
Mailing Address - City:SCHULENBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78956-5719
Mailing Address - Country:US
Mailing Address - Phone:713-569-9327
Mailing Address - Fax:
Practice Address - Street 1:5208 MENSIK RD
Practice Address - Street 2:
Practice Address - City:SCHULENBURG
Practice Address - State:TX
Practice Address - Zip Code:78956-5719
Practice Address - Country:US
Practice Address - Phone:713-569-9327
Practice Address - Fax:409-561-8752
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9782101YP2500X, 102L00000X
TX4134106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028353301Medicaid