Healthcare Provider Details

I. General information

NPI: 1770836306
Provider Name (Legal Business Name): LINDA BETH FABE LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2012
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6029 ROBISON RD
CINCINNATI OH
45213-1721
US

IV. Provider business mailing address

6029 ROBISON RD
CINCINNATI OH
45213-1721
US

V. Phone/Fax

Practice location:
  • Phone: 513-703-0020
  • Fax:
Mailing address:
  • Phone: 513-703-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0005892
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0005892
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: