Gross, Linda Marie

Gross, Linda Marie is an sole proprietor health care provider with primary practice located at 211 N Main St Ste 203 , Spearfish SD 57783-2646. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gross, Linda Marie can be contacted via phone (605) 559-2006.

Contact Information

Primary practice address
211 N Main St Ste 203 Spearfish SD 57783-2646
Fax: (605) 559-0243
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-MH2054 South Dakota
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-MH2054 South Dakota

Profile Details

NPI number 1306970553
LBN Legal business name Gross, Linda Marie
Credentials LPC-MH, QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Mar 21st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306970553 NPPES
South Dakota MEDICAID 5200090

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