Provider Demographics
NPI:1700187283
Name:HARTMAN, LINDA CARTER (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CARTER
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-2707
Mailing Address - Country:US
Mailing Address - Phone:850-830-5904
Mailing Address - Fax:850-279-3076
Practice Address - Street 1:4591 E HIGHWAY 20 STE 202I
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8844
Practice Address - Country:US
Practice Address - Phone:850-830-5904
Practice Address - Fax:850-279-3076
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-15
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2476106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist