Healthcare Provider Details

I. General information

NPI: 1174774970
Provider Name (Legal Business Name): PSYCHIATRIC CNS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 02/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 MADISON RD SUITE 303B
CINCINNATI OH
45209-2276
US

IV. Provider business mailing address

10343 BIRKEMEYER DR
CINCINNATI OH
45242-5204
US

V. Phone/Fax

Practice location:
  • Phone: 513-721-0990
  • Fax: 513-721-5313
Mailing address:
  • Phone: 513-891-3771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberNS-03684
License Number StateOH

VIII. Authorized Official

Name: MS. LINDA M HUSSEY
Title or Position: OWNER
Credential: MSN, CNS, LPCC
Phone: 513-891-3771