Healthcare Provider Details

I. General information

NPI: 1487208500
Provider Name (Legal Business Name): EMILY LINDERS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3698 BURNSIDE RD
SEBASTOPOL CA
95472-9141
US

IV. Provider business mailing address

3698 BURNSIDE RD
SEBASTOPOL CA
95472-9141
US

V. Phone/Fax

Practice location:
  • Phone: 314-489-3165
  • Fax:
Mailing address:
  • Phone: 314-489-3165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT137962
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: