Provider Demographics
NPI:1275424244
Name:TANG, LINDA NANCY (AMFT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:NANCY
Last Name:TANG
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:NANCY
Other - Last Name:TANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT
Mailing Address - Street 1:950 COUNTY SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5410
Mailing Address - Country:US
Mailing Address - Phone:805-620-8046
Mailing Address - Fax:
Practice Address - Street 1:950 COUNTY SQUARE DR STE 111
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5473
Practice Address - Country:US
Practice Address - Phone:805-620-8046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health