Provider Demographics
NPI:1912509753
Name:LAWMAN, LINDA DIANNE (MA, TLMHC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:DIANNE
Last Name:LAWMAN
Suffix:
Gender:F
Credentials:MA, TLMHC
Other - Prefix:
Other - First Name:ELLE
Other - Middle Name:
Other - Last Name:LAWMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, TLMHC
Mailing Address - Street 1:219 S 5TH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-6851
Mailing Address - Country:US
Mailing Address - Phone:641-229-1769
Mailing Address - Fax:
Practice Address - Street 1:511 DUFF AVE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-6391
Practice Address - Country:US
Practice Address - Phone:800-531-4236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA094729101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health