Provider Demographics
NPI:1700059755
Name:MANN, LINDA KAY (LMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:MANN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 HAWTHORNE RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-5252
Mailing Address - Country:US
Mailing Address - Phone:765-520-9688
Mailing Address - Fax:765-282-2414
Practice Address - Street 1:729 HAWTHORNE ROAD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-5252
Practice Address - Country:US
Practice Address - Phone:765-520-9688
Practice Address - Fax:765-282-2414
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001426A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health