Provider Demographics
NPI:1902001449
Name:DAUME, LINDA L (MA,LMFT,LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:DAUME
Suffix:
Gender:F
Credentials:MA,LMFT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 TERRY PKWY
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2578
Mailing Address - Country:US
Mailing Address - Phone:504-957-9866
Mailing Address - Fax:504-361-7428
Practice Address - Street 1:8200 HAMPSON ST
Practice Address - Street 2:SUITE 306
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-1000
Practice Address - Country:US
Practice Address - Phone:504-957-9866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2688101YM0800X
LA731106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA11700824OtherCAQH
LA369998OtherMENTAL HEALTH NETWORK