Healthcare Provider Details

I. General information

NPI: 1487877171
Provider Name (Legal Business Name): LINDA MESING COOK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BALLARD ST
ALTAMONTE SPRINGS FL
32701-5441
US

IV. Provider business mailing address

711 BALLARD ST
ALTAMONTE SPRINGS FL
32701-5441
US

V. Phone/Fax

Practice location:
  • Phone: 321-274-2224
  • Fax:
Mailing address:
  • Phone: 321-274-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH2608
License Number StateFL

VIII. Authorized Official

Name: MS. LINDA S. MESING COOK
Title or Position: PRESIDENT
Credential: LMHC
Phone: 321-274-2224