Provider Demographics
NPI:1336445881
Name:CHAMBERS, LINDA DIANNE (MSSW, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:DIANNE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:MSSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 S HARDING ST
Mailing Address - Street 2:
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-2607
Mailing Address - Country:US
Mailing Address - Phone:903-644-6127
Mailing Address - Fax:254-729-5598
Practice Address - Street 1:701 MCCLINTIC DR
Practice Address - Street 2:
Practice Address - City:GROESBECK
Practice Address - State:TX
Practice Address - Zip Code:76642-2128
Practice Address - Country:US
Practice Address - Phone:254-729-2014
Practice Address - Fax:254-729-5598
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0906104100000X
TX3587106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist