Provider Demographics
NPI:1083746879
Name:BUSBY, LINDA COLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:COLE
Last Name:BUSBY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4318 NW 76TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4132
Mailing Address - Country:US
Mailing Address - Phone:352-377-0919
Mailing Address - Fax:
Practice Address - Street 1:4040 W NEWBERRY RD
Practice Address - Street 2:SUITE 1350
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-5503
Practice Address - Country:US
Practice Address - Phone:352-373-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00023221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical