Provider Demographics
NPI:1356554455
Name:INGLE, LINDA (LPC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:INGLE
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 1:1225 MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-8840
Mailing Address - Country:US
Mailing Address - Phone:870-572-5005
Mailing Address - Fax:870-572-5000
Practice Address - Street 1:1521 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-2152
Practice Address - Country:US
Practice Address - Phone:870-633-8092
Practice Address - Fax:870-633-8358
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARP0612069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR173704795Medicaid