MEDICARE: LINDA A MOUNCE LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	C0700013	OH
2	101Y00000X	Counselor	5226	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093994618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA A MOUNCE LPC

Provider Business Mailing Address
First Line	:	110 TRADERS CROSS
Second Line	:	SUITE 224
City	:	BLUFFTON
State	:	SC
Zip	:	29909-4637
Country	:	US
Telephone Number	:	843-284-6558
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 TRADERS CROSS
Second Line	:	SUITE 224
City	:	BLUFFTON
State	:	SC
Zip	:	29909-4637
Country	:	US
Telephone Number	:	843-284-6558
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	08/23/2016

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Directions to “ LINDA A MOUNCE LPC” Practice Location

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