Provider Demographics
NPI:1962833855
Name:HUA, LYNDA PHU (LPC)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:PHU
Last Name:HUA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LYNDA
Other - Middle Name:PHU
Other - Last Name:CHAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10601 S WESTERN AVE STE 117
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-6215
Mailing Address - Country:US
Mailing Address - Phone:817-721-3383
Mailing Address - Fax:
Practice Address - Street 1:10601 S WESTERN AVE STE 117
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-6215
Practice Address - Country:US
Practice Address - Phone:817-721-3383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator