Provider Demographics
NPI:1578756367
Name:LIMBURG, LINDA M (LPCC-S, CDCA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:LIMBURG
Suffix:
Gender:F
Credentials:LPCC-S, CDCA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:M
Other - Last Name:KLEIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC-S, CDCA
Mailing Address - Street 1:2940 GORDON AVE NW
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44647-5901
Mailing Address - Country:US
Mailing Address - Phone:330-313-0831
Mailing Address - Fax:
Practice Address - Street 1:822 KUMHO DR STE 101
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-9298
Practice Address - Country:US
Practice Address - Phone:253-245-1807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.100799101YA0400X
OHC0601002101YM0800X
OHE.0601002-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health