Healthcare Provider Details

I. General information

NPI: 1932173663
Provider Name (Legal Business Name): LINDA ELIZABETH ORR LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MISS LINDA ELIZABETH DOHERTY

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 UNION STREET
NEW BEDFORD MA
02740-3665
US

IV. Provider business mailing address

11 SHINGLE ISLAND LANE
DARTMOUTH MA
02747-1341
US

V. Phone/Fax

Practice location:
  • Phone: 508-990-0852
  • Fax: 508-990-4777
Mailing address:
  • Phone: 508-998-1542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4785
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: