MEDICARE: MRS. LINDSAY R KEEBLE LPPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	161380	OH
2	101YP2500X	Professional Counselor	E.2303467	OH

General Provider Information

NPI Number	:	1295284313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSAY R KEEBLE LPPC

Provider Business Mailing Address
First Line	:	5588 BRIDGETOWN RD APT 10
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-4324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-1828
Country	:	US
Telephone Number	:	513-426-4326
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2016
Last Update Date	:	03/11/2024

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