Provider Demographics
NPI:1922574383
Name:STRICKLAND, LINDA DARLENE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:DARLENE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 HWY 490
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:MS
Mailing Address - Zip Code:39341
Mailing Address - Country:US
Mailing Address - Phone:662-803-5377
Mailing Address - Fax:662-773-7410
Practice Address - Street 1:1203 N COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39339
Practice Address - Country:US
Practice Address - Phone:662-803-5377
Practice Address - Fax:663-773-7410
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS2600OtherLPC
MSP-0163OtherP-LPC