Provider Demographics
NPI:1588087324
Name:PAIGE, LINDA M (LPC, LMHC, CPCS)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:PAIGE
Suffix:
Gender:F
Credentials:LPC, LMHC, CPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 KLESCO LN
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:GA
Mailing Address - Zip Code:31087-2217
Mailing Address - Country:US
Mailing Address - Phone:478-451-3112
Mailing Address - Fax:478-451-0188
Practice Address - Street 1:7293 GLEN DR
Practice Address - Street 2:
Practice Address - City:WINSTON
Practice Address - State:GA
Practice Address - Zip Code:30187-1551
Practice Address - Country:US
Practice Address - Phone:404-740-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007684101Y00000X, 101Y00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC007684OtherCOUNSELOR: PRIVATE PRACTICE
GALPC007486OtherGEORGIA STATE LICENSE