Provider Demographics
NPI:1588823439
Name:HANBY, LINDA LEE (BS, MFTA, RC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LEE
Last Name:HANBY
Suffix:
Gender:F
Credentials:BS, MFTA, RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19435 68TH AVE S
Mailing Address - Street 2:S108
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-2102
Mailing Address - Country:US
Mailing Address - Phone:253-398-2023
Mailing Address - Fax:253-398-2025
Practice Address - Street 1:19435 68TH AVE S STE S108
Practice Address - Street 2:LINDA HANBY FAMILY THERAPY
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-2114
Practice Address - Country:US
Practice Address - Phone:253-398-2023
Practice Address - Fax:253-398-2025
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00035597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health