Provider Demographics
NPI:1558302885
Name:MORTEN, LINDA (LISW CP LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MORTEN
Suffix:
Gender:F
Credentials:LISW CP LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 MILLS AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-5602
Mailing Address - Country:US
Mailing Address - Phone:864-242-6565
Mailing Address - Fax:864-242-3175
Practice Address - Street 1:527 MILLS AVE
Practice Address - Street 2:STE 201
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-5602
Practice Address - Country:US
Practice Address - Phone:864-242-6565
Practice Address - Fax:864-242-3175
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical