Provider Demographics
NPI:1073678918
Name:LAVINSON, LINDA JOYCE (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOYCE
Last Name:LAVINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 DULLES AVE
Mailing Address - Street 2:#613
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477
Mailing Address - Country:US
Mailing Address - Phone:281-499-2867
Mailing Address - Fax:281-277-1020
Practice Address - Street 1:1221 SEVENTH STREET
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:713-727-3561
Practice Address - Fax:281-277-1020
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0913101YA0400X
TX02184 LCSW103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
64462857OtherUNITED BEHAVIORAL HEALTH