Provider Demographics
NPI:1477360659
Name:LINDA S BALL COUNSELING LCPC
Entity type:Organization
Organization Name:LINDA S BALL COUNSELING LCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:240-717-9978
Mailing Address - Street 1:46455 HYATT COURT
Mailing Address - Street 2:
Mailing Address - City:DRAYDEN
Mailing Address - State:MD
Mailing Address - Zip Code:20630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22738 MAPLE RD STE 104
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3366
Practice Address - Country:US
Practice Address - Phone:240-717-9978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health