Provider Demographics
NPI:1447271507
Name:SIMKIN, LINDA LEE (LMHC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:SIMKIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 S 4TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-5474
Mailing Address - Country:US
Mailing Address - Phone:765-939-2206
Mailing Address - Fax:765-966-6917
Practice Address - Street 1:245 S 4TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5474
Practice Address - Country:US
Practice Address - Phone:765-939-2206
Practice Address - Fax:765-966-6917
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001354A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health