Provider Demographics
NPI:1578739116
Name:DOAK, LINDA L (LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:DOAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:L
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1075 KINWEST PKWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3407
Mailing Address - Country:US
Mailing Address - Phone:972-910-8388
Mailing Address - Fax:972-910-8366
Practice Address - Street 1:1075 KINWEST PKWY
Practice Address - Street 2:SUITE 107
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3407
Practice Address - Country:US
Practice Address - Phone:972-910-8388
Practice Address - Fax:972-910-8366
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-04
Last Update Date:2008-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17176101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional