Organization Name: | LINDA M. SILVA, LLC |
NPI Number: | 1245475920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA MARIE SILVA (OWNER) |
Mailing Address: | 460 W Main St Suite 101 Blue Ridge |
State: | GA US |
Postal Code: | 305137127 |
Phone Number: | 7066338145 |
Fax Number: | 7069466574 |
NPI Enumeration Date: | 12/09/2008 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 005261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |