Provider Demographics
NPI:1417840935
Name:LINDE, CAROLINE JULIE (T-LMHC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:JULIE
Last Name:LINDE
Suffix:
Gender:F
Credentials:T-LMHC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:JULIE
Other - Last Name:KOEKENHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 LANDON DR NW
Mailing Address - Street 2:
Mailing Address - City:BONDURANT
Mailing Address - State:IA
Mailing Address - Zip Code:50035-2618
Mailing Address - Country:US
Mailing Address - Phone:712-209-3443
Mailing Address - Fax:
Practice Address - Street 1:1850 SW PLAZA SHOPS LN STE D
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7168
Practice Address - Country:US
Practice Address - Phone:515-508-1150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health