| Doctor Name: | LINDA WISNER |
| NPI Number: | 1184992745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 64696 |
| Business Practice Address: | 222 Hurst Creek Rd Lakeway, TX - 787344224 |
| Business Phone Number: | 5129405052 |
| Business Fax Number: | |
| Mailing Address: | 3534 Bee Cave Rd, 114 WEST LAKE HILLS |
| State: | TX |
| Postal Code: | 787465468 |
| Phone Number: | 5129405052 |
| Fax Number: | |
| NPI Enumeration Date: | 12/09/2011 |
| NPI Last Update Date: | 12/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 64696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |