Provider Demographics
NPI:1710479878
Name:SERRANO, LINDA LORRAINE (LMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LORRAINE
Last Name:SERRANO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LORRAINE
Other - Last Name:BATEMARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 N. MAIN ST.
Mailing Address - Street 2:#1364
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904
Mailing Address - Country:US
Mailing Address - Phone:914-505-6500
Mailing Address - Fax:845-225-3207
Practice Address - Street 1:555 N MAIN ST.
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904
Practice Address - Country:US
Practice Address - Phone:914-505-6500
Practice Address - Fax:845-225-3207
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP13336101YM0800X
NY010869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health