Linda Marie McLaughlin, OWNER
Individual provider Active NPI Mental Health Counselor · Wagram, NC
NPI 1104940261 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1104940261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 600560027 (NC)
- Practice address
- 28300 Crumptown Road
Wagram, NC 28396 - Phone
- (910) 734-8549
- Fax
- (910) 369-0209
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600560027 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 600560027 | NC | Yes |
Addresses
Primary practice location
28300 Crumptown Road
Wagram, NC 28396
Mailing address
PO Box 473
Wagram, NC 28396-0473
Phone (910) 734-8549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301159H | Medicaid | NC | |
| 8301159 | Medicaid | NC | |
| 8301159B | Medicaid | NC | |
| 8301159G | Medicaid | NC |
Other providers in Wagram, NC
- Beneficial Adult Care Program
- Niquetta Dockery
- Haywood Haven
- Jenna L Henderson
- Rolanda Faulk Jones
- Dana Latoya McQueen Whitfield
- Sherry L. Oxendine
- Cassandra Ann Hartley Pennington
- Scotland Memorial Hospital, Inc
- Scotland Regional Health Network
All providers in Wagram, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.