Provider Demographics
NPI:1740071497
Name:EMERICK, LINZI AVANA
Entity type:Individual
Prefix:MS
First Name:LINZI
Middle Name:AVANA
Last Name:EMERICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S GEORGE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3039
Mailing Address - Country:US
Mailing Address - Phone:443-328-4946
Mailing Address - Fax:443-539-8173
Practice Address - Street 1:111 S GEORGE ST STE 2
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3039
Practice Address - Country:US
Practice Address - Phone:443-328-4946
Practice Address - Fax:443-539-8173
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health