Kindred Spirit Behavioral Health
LBN: Kindred Spirit Behavioral Health
Kindred Spirit Behavioral Health is an health care organization with primary practice located at 3618 W Market St Ste E15 , Fairlawn OH 44333-2425. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Kindred Spirit Behavioral Health can be contacted via phone (330) 271-6160, or through Lodge, Tania S via phone (330) 271-6160.
Contact Information
Primary practice address
3618 W Market St Ste E15
Fairlawn OH 44333-2425
Phone: (330) 271-6160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1093475899 |
|---|---|
| LBN Legal business name | Kindred Spirit Behavioral Health |
| DBA Doing business as | |
| Authorized official | Lodge, Tania S PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2021 |
| Last updated | Mar 1st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093475899 | NPPES |
| Ohio | MEDICAID | 0214582 |
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