Provider Demographics
NPI:1447003009
Name:LIMBERT, LILLIAN CHEYENNE
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:CHEYENNE
Last Name:LIMBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:47394-9276
Mailing Address - Country:US
Mailing Address - Phone:765-209-1595
Mailing Address - Fax:
Practice Address - Street 1:918 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:IN
Practice Address - Zip Code:47394-9276
Practice Address - Country:US
Practice Address - Phone:765-209-1595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician