Provider Demographics
NPI:1831645233
Name:LINDA ROBINSON CMHPSS
Entity Type:Organization
Organization Name:LINDA ROBINSON CMHPSS
Other - Org Name:TOWN CLOCK MENTAL HEALTH P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LIGHTCAP
Authorized Official - Suffix:
Authorized Official - Credentials:CRC,LMHC,LPC
Authorized Official - Phone:563-583-5627
Mailing Address - Street 1:799 MAIN ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-6844
Mailing Address - Country:US
Mailing Address - Phone:563-583-4111
Mailing Address - Fax:563-583-5666
Practice Address - Street 1:799 MAIN ST
Practice Address - Street 2:SUITE 370
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6844
Practice Address - Country:US
Practice Address - Phone:563-583-4111
Practice Address - Fax:563-583-5666
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMH14035175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty