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KINDRED SPIRIT BEHAVIORAL HEALTH NPI 1093475899


NPI Information

NPI: 1093475899
Provider Name: KINDRED SPIRIT BEHAVIORAL HEALTH
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3618 W MARKET ST STE E15
FAIRLAWN, OH
ZIP 44333
Phone: (330) 271-6160
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KINDRED SPIRIT BEHAVIORAL HEALTH is a community behavioral health in Fairlawn, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. KINDRED SPIRIT BEHAVIORAL HEALTH NPI is 1093475899. The provider is registered as an organization entity type.

The provider's business location address is:

3618 W MARKET ST STE E15
FAIRLAWN, OH
ZIP 44333-425
Phone: (330) 271-6160

The provider's authorized official is Tania S Lodge .
The authorized official title is Psychologist/director and has the following contact phone number (330) 271-6160.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 3/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10214582MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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