Doctor Name: | MRS. LINDA M STORY |
NPI Number: | 1053523431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1890 |
Business Practice Address: | 2867 Pelham Pkwy Pelham, AL - 351241728 |
Business Phone Number: | 2056632779 |
Business Fax Number: | 2056636925 |
Mailing Address: | 1412 Secretariat Dr, HELENA |
State: | AL |
Postal Code: | 350804139 |
Phone Number: | 2056200271 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |