Healthcare Provider Details

I. General information

NPI: 1366820110
Provider Name (Legal Business Name): LINDA M ORLANDO LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2015
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CRAIG DR
BREWER ME
04412-1441
US

IV. Provider business mailing address

16 CRAIG DR
BREWER ME
04412-1441
US

V. Phone/Fax

Practice location:
  • Phone: 207-631-4360
  • Fax:
Mailing address:
  • Phone: 207-631-4360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC4931
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5770
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0136840
License Number StateVT
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP6388-R
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPMC1999
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: