Provider Demographics
NPI:1710230040
Name:YOUMANS, LINDA (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:YOUMANS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2292 SOUTHGATE DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-0949
Mailing Address - Country:US
Mailing Address - Phone:734-846-8241
Mailing Address - Fax:888-398-2113
Practice Address - Street 1:41 WASHINGTON AVE
Practice Address - Street 2:SUITE 368
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-1390
Practice Address - Country:US
Practice Address - Phone:734-846-8241
Practice Address - Fax:888-398-2113
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007781101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional