Healthcare Provider Details

I. General information

NPI: 1831498047
Provider Name (Legal Business Name): LINDA D TAYLOR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 UNIVERSITY CITY BLVD
BLACKSBURG VA
24060-2706
US

IV. Provider business mailing address

1250 CAMBRIA ST NW
CHRISTIANSBURG VA
24073-5804
US

V. Phone/Fax

Practice location:
  • Phone: 540-961-8300
  • Fax:
Mailing address:
  • Phone: 540-239-5108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: