Provider Demographics
NPI:1609966639
Name:LINDA MUCH PC
Entity Type:Organization
Organization Name:LINDA MUCH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:MUCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC LMFT LCDC
Authorized Official - Phone:817-540-5600
Mailing Address - Street 1:2350 AIRPORT FWY
Mailing Address - Street 2:#520
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022
Mailing Address - Country:US
Mailing Address - Phone:817-540-5600
Mailing Address - Fax:517-540-5600
Practice Address - Street 1:2350 AIRPORT FWY
Practice Address - Street 2:#520
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022
Practice Address - Country:US
Practice Address - Phone:817-540-5600
Practice Address - Fax:517-540-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCDC781101YA0400X
TXLPC9615101YP2500X
TXLMFT827106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty