Healthcare Provider Details

I. General information

NPI: 1043528102
Provider Name (Legal Business Name): LINDA ANN NACHBAUER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 03/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11156 CANAL RD
CINCINNATI OH
45241-5815
US

IV. Provider business mailing address

11156 CANAL RD
CINCINNATI OH
45241-5815
US

V. Phone/Fax

Practice location:
  • Phone: 513-772-6166
  • Fax: 513-772-6177
Mailing address:
  • Phone: 513-772-6166
  • Fax: 513-772-6177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCO700393
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.0700393
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: