Provider Demographics
NPI:1497816615
Name:MAXWELL, LINDA L (LMHC, ATR-BC, LADC1)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:MAXWELL
Suffix:
Gender:F
Credentials:LMHC, ATR-BC, LADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4033
Mailing Address - Country:US
Mailing Address - Phone:978-821-3298
Mailing Address - Fax:978-373-2142
Practice Address - Street 1:659 PRIMROSE ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2608
Practice Address - Country:US
Practice Address - Phone:978-821-3298
Practice Address - Fax:978-373-2142
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6130101Y00000X
MA06-101101Y00000X
MA2210101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)