LUCY IDOL CENTER INC NPI 1962477901

NPI Information

NPI: 1962477901
Provider Name: LUCY IDOL CENTER, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
435 NICHOLSON RD
VERMILION, OH
ZIP 44089
Phone: (440) 967-6724
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LUCY IDOL CENTER, INC is a mental health (including community mental health center) clinic center in Vermilion, OH. LUCY IDOL CENTER, INC NPI is 1962477901. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

435 NICHOLSON RD
VERMILION, OH
ZIP 44089-536
Phone: (440) 967-6724
Fax: (440) 967-4495

The provider's authorized official is John Tad Peck .
The authorized official title is Executive Director and has the following contact phone number (440) 967-6724.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 11/2/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist				No
2	103TM1800X	Psychologist	Intellectual and Developmental Disabilities			No
3	251C00000X	Day Training, Developmentally Disabled Services				No
4	261QA0600X	Clinic/Center	Adult Day Care			No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0077	OHIO	Yes
6	343900000X	Non-emergency Medical Transport (VAN)				No
7	3747A0650X	Technician	Attendant Care Provider			No
8	3747P1801X	Technician	Personal Care Attendant			No
9	374U00000X	Home Health Aide				No
10	171R00000X	Interpreter				No

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

NPI Synchronization or Removal

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