MEDICARE: MS. LINDA R GOLDSMITH MA

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	101YM0800X	Mental Health Counselor	19009	FL
2	101YM0800X	Mental Health Counselor	011694-01	NY
3	101YP2500X	Professional Counselor	180-004968	IL

General Provider Information

NPI Number	:	1639155781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA R GOLDSMITH MA

Provider Business Mailing Address
First Line	:	3288 ALEX FINDLAY PL
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-8700
Country	:	US
Telephone Number	:	847-477-3921
Fax Number	:

Provider Business Practice Location Address
First Line	:	3288 ALEX FINDLAY PL
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-8700
Country	:	US
Telephone Number	:	847-477-3921
Fax Number	:

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

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	06/20/2024

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