Provider Demographics
NPI:1104117613
Name:HOLT, LINDA DIANNE (MSW, LMSW, LCSW)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DIANNE
Last Name:HOLT
Suffix:
Gender:F
Credentials:MSW, LMSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 PIPERS MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382-5102
Mailing Address - Country:US
Mailing Address - Phone:281-914-3240
Mailing Address - Fax:281-292-9163
Practice Address - Street 1:51 PIPERS MEADOW ST
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-5102
Practice Address - Country:US
Practice Address - Phone:281-914-3240
Practice Address - Fax:281-292-9163
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX418401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical