Provider Demographics
NPI:1720849987
Name:STOCKSTILL, LINDA MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:STOCKSTILL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:MARIE
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5209 WOODMERE ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4241
Mailing Address - Country:US
Mailing Address - Phone:601-807-8310
Mailing Address - Fax:
Practice Address - Street 1:5209 WOODMERE ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-4241
Practice Address - Country:US
Practice Address - Phone:601-807-8310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC03919101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional