=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093665895
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDA ATILES LPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2026
-----------------------------------------------------
Last Update Date | 01/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 206 E BROWN ST
-----------------------------------------------------
City | EAST STROUDSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18301-3006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-420-5838
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6013 ROUTE 209
-----------------------------------------------------
City | STROUDSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18360-7158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | PC019111
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------