Healthcare Provider Details

I. General information

NPI: 1588939128
Provider Name (Legal Business Name): LINDA LARKIN MA, MBA, LPC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2012
Last Update Date: 07/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W LITTLETON BLVD STE 312
LITTLETON CO
80120
US

IV. Provider business mailing address

PO BOX 207
LITTLETON CO
80160-0207
US

V. Phone/Fax

Practice location:
  • Phone: 303-475-9105
  • Fax:
Mailing address:
  • Phone: 303-475-9105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number18-073
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12819
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: