Provider Demographics
NPI:1184786931
Name:BAXTER, LINDA LOUISE (MS, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:LOUISE
Last Name:BAXTER
Suffix:
Gender:F
Credentials:MS, LPC, LCDC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LOUISE
Other - Last Name:SPENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:9408 MOSS FARM LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-7607
Mailing Address - Country:US
Mailing Address - Phone:214-450-8124
Mailing Address - Fax:
Practice Address - Street 1:9408 MOSS FARM LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-7607
Practice Address - Country:US
Practice Address - Phone:214-450-8124
Practice Address - Fax:214-503-3735
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health