Provider Demographics
NPI:1982904389
Name:LINDA K INGLE, LPC
Entity Type:Organization
Organization Name:LINDA K INGLE, LPC
Other - Org Name:ECCLECTIC INTERESTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:INGLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-208-3311
Mailing Address - Street 1:222 MISSISSIPPI ST S STE A
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-3000
Mailing Address - Country:US
Mailing Address - Phone:870-208-3311
Mailing Address - Fax:870-238-5483
Practice Address - Street 1:222 MISSISSIPPI ST S STE A
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-3000
Practice Address - Country:US
Practice Address - Phone:870-208-3311
Practice Address - Fax:870-238-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0612069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty