Provider Demographics
NPI:1922241470
Name:LINDA FELTER, LMFT, LLC
Entity Type:Organization
Organization Name:LINDA FELTER, LMFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FELTER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-585-5082
Mailing Address - Street 1:5 LINCOLN AVE
Mailing Address - Street 2:SUITE #9
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-7003
Mailing Address - Country:US
Mailing Address - Phone:860-585-5082
Mailing Address - Fax:860-585-1561
Practice Address - Street 1:5 LINCOLN AVE
Practice Address - Street 2:SUITE #9
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-7003
Practice Address - Country:US
Practice Address - Phone:860-585-5082
Practice Address - Fax:860-585-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty