Provider Demographics
NPI:1649354028
Name:MARX, LINDA L (LMFT, LCDC, NCACII)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:MARX
Suffix:
Gender:F
Credentials:LMFT, LCDC, NCACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4420 FM 1960 RD W STE 206
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3411
Mailing Address - Country:US
Mailing Address - Phone:281-580-5668
Mailing Address - Fax:716-868-6976
Practice Address - Street 1:4420 FM 1960 RD W STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3411
Practice Address - Country:US
Practice Address - Phone:281-580-5668
Practice Address - Fax:716-868-6976
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX843101YA0400X
TX2367106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0007882057OtherAETNA PIN