Healthcare Provider Details

I. General information

NPI: 1548176746
Provider Name (Legal Business Name): LINDA R HARE CDCA PRELIMINARY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 READING RD STE A
MASON OH
45040-2654
US

IV. Provider business mailing address

3108 ARTISAN WAY
MORROW OH
45152-8090
US

V. Phone/Fax

Practice location:
  • Phone: 513-445-9688
  • Fax: 513-486-1007
Mailing address:
  • Phone: 513-445-9688
  • Fax: 513-486-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number196955
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: