Healthcare Provider Details

I. General information

NPI: 1003988098
Provider Name (Legal Business Name): LINDA M. LINK LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10052 COORS BLVD NW
ALBUQUERQUE NM
87114-4020
US

IV. Provider business mailing address

PO BOX 66255
ALBUQUERQUE NM
87193-6255
US

V. Phone/Fax

Practice location:
  • Phone: 505-459-0025
  • Fax: 505-899-8372
Mailing address:
  • Phone: 505-459-0025
  • Fax: 505-899-8372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCCMH0766
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: