Healthcare Provider Details

I. General information

NPI: 1740988146
Provider Name (Legal Business Name): LINN MENTAL HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2023
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 WASHINGTON BLVD STE 100
WILLIAMSPORT PA
17701-5355
US

IV. Provider business mailing address

2701 BLAIR ST
MONTOURSVILLE PA
17754-9313
US

V. Phone/Fax

Practice location:
  • Phone: 570-506-4449
  • Fax:
Mailing address:
  • Phone: 570-506-4449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY LINN
Title or Position: OWNER/PRACTITIONER
Credential: CRNP
Phone: 570-506-4449