Provider Demographics
NPI:1437376233
Name:HULETT, LINDA SUE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SUE
Last Name:HULETT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 26TH ST
Mailing Address - Street 2:
Mailing Address - City:HONDO
Mailing Address - State:TX
Mailing Address - Zip Code:78861-3041
Mailing Address - Country:US
Mailing Address - Phone:210-854-3714
Mailing Address - Fax:830-426-8724
Practice Address - Street 1:1159 26TH ST
Practice Address - Street 2:
Practice Address - City:HONDO
Practice Address - State:TX
Practice Address - Zip Code:78861-3041
Practice Address - Country:US
Practice Address - Phone:210-854-3714
Practice Address - Fax:830-426-8724
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9775101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX121964402Medicaid
TX121964401Medicaid