Healthcare Provider Details

I. General information

NPI: 1275690505
Provider Name (Legal Business Name): LINDA M HUSSEY MSN, CNS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
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

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

V. Phone/Fax

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

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
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE0000762
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: