Provider Demographics
NPI:1558115931
Name:LINDAUER, MAXINE JAMIE (LPCA)
Entity Type:Individual
Prefix:
First Name:MAXINE
Middle Name:JAMIE
Last Name:LINDAUER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2431
Mailing Address - Country:US
Mailing Address - Phone:469-215-3726
Mailing Address - Fax:
Practice Address - Street 1:723 S INTERSTATE 35 E STE 203
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-4104
Practice Address - Country:US
Practice Address - Phone:469-215-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93920101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health