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 # E15 , Fairlawn OH 44333-2425. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kindred Spirit Behavioral Health can be contacted via phone (234) 466-0445, or through Lodge, Tania S via phone (234) 466-0445.

Contact Information

Primary practice address
3618 W Market St # E15 Fairlawn OH 44333-2425
Phone: (234) 466-0445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lodge, Tania S PHD
Phone: (234) 466-0445

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1396493185
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 Mar 11th, 2022
Last updated Sep 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396493185 NPPES
Ohio MEDICAID 0478831

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