Provider Demographics
NPI:1912428368
Name:VERBA, LINDA PATRICIA (LICDC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:PATRICIA
Last Name:VERBA
Suffix:
Gender:
Credentials:LICDC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:PATRICIA
Other - Last Name:FRANCZEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CDCA
Mailing Address - Street 1:4600 MONTGOMERY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7175 ALLENDALE DR
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5101
Practice Address - Country:US
Practice Address - Phone:440-527-3604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC162270101YA0400X
OHLICDC.162270101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty