Provider Demographics
NPI:1104441732
Name:LINN, DANA (MA, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:LINN
Suffix:
Gender:F
Credentials:MA, LPC, LCDC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:EATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 LEGENDS OF HUTTO TRL
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-5533
Mailing Address - Country:US
Mailing Address - Phone:832-993-1033
Mailing Address - Fax:
Practice Address - Street 1:121 LEGENDS OF HUTTO TRL
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5533
Practice Address - Country:US
Practice Address - Phone:832-993-1033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76598101YP2500X
TX14345101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty