Provider Demographics
NPI:1275690505
Name:HUSSEY, LINDA M (MSN, CNS, LPCC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:HUSSEY
Suffix:
Gender:F
Credentials:MSN, CNS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 MADISON RD
Mailing Address - Street 2:SUITE 303B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-2276
Mailing Address - Country:US
Mailing Address - Phone:513-721-0990
Mailing Address - Fax:513-721-5313
Practice Address - Street 1:2727 MADISON RD
Practice Address - Street 2:SUITE 303B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-2276
Practice Address - Country:US
Practice Address - Phone:513-721-0990
Practice Address - Fax:513-721-5313
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000762101YM0800X
OHNS-03684364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHUNS00612Medicare PIN