Shake, Linda M

Shake, Linda M is an sole proprietor health care provider with primary practice located at 5934 S Staples St Suite 230, Corpus Christi TX 78413-3842. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shake, Linda M can be contacted via phone (361) 985-1541.

Contact Information

Primary practice address
5934 S Staples St Suite 230 Corpus Christi TX 78413-3842
Phone: (361) 985-1541
Fax: (361) 985-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10213 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 003282-041169 Texas

Profile Details

NPI number 1598712630
LBN Legal business name Shake, Linda M
Credentials M.S.,L.P.C.,L.M.F.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Jul 9th, 2007 - about 19 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 1598712630 NPPES
Texas Other 2158LC BLUE CROSS BLUE SHIELD TX
Texas Other 2271938 BLUE CROSS BLUE SHIELD TX

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