Provider Demographics
NPI:1457661514
Name:BUIE, LINDA P (LAPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:P
Last Name:BUIE
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6203 AZALEA GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7933
Mailing Address - Country:US
Mailing Address - Phone:678-441-9288
Mailing Address - Fax:
Practice Address - Street 1:2700 CUMBERLAND PKWY SE
Practice Address - Street 2:SUITE 120
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-3321
Practice Address - Country:US
Practice Address - Phone:770-319-7468
Practice Address - Fax:866-416-1767
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC002395101YA0400X, 101YP2500X
GAGA002395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional