Provider Demographics
NPI:1881395143
Name:LINEBARGER, MARISELA (LPC-A/LMFT-A)
Entity type:Individual
Prefix:
First Name:MARISELA
Middle Name:
Last Name:LINEBARGER
Suffix:
Gender:F
Credentials:LPC-A/LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 DRUID DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2600
Mailing Address - Country:US
Mailing Address - Phone:214-280-9499
Mailing Address - Fax:
Practice Address - Street 1:8350 MEADOW RD STE 281
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3768
Practice Address - Country:US
Practice Address - Phone:214-265-1777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90214101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional