Provider Demographics
NPI:1790248144
Name:HART, LINDA MAUREEN (PHD, LPCS, RPTS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MAUREEN
Last Name:HART
Suffix:
Gender:F
Credentials:PHD, LPCS, RPTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2615 29TH ST N
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590-3976
Mailing Address - Country:US
Mailing Address - Phone:409-457-4033
Mailing Address - Fax:
Practice Address - Street 1:306 S FRIENDSWOOD DR # C3
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3982
Practice Address - Country:US
Practice Address - Phone:409-599-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional