Provider Demographics
NPI:1841325487
Name:BRONSON, LINDA KAY (LMHC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:KAY
Last Name:BRONSON
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 1:3901 GREENVIEW PINES CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1716
Mailing Address - Country:US
Mailing Address - Phone:407-629-6866
Mailing Address - Fax:
Practice Address - Street 1:140 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6466
Practice Address - Country:US
Practice Address - Phone:407-629-6866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL496101YA0400X
FLMH2327101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health