Kindred Spirit Behavioral Health | |
3618 W Market St Ste E15 Fairlawn OH 44333-2425 | |
(330) 271-6160 | |
Not Available |
Full Name | Kindred Spirit Behavioral Health |
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Speciality | Community/behavioral Health |
Location | 3618 W Market St Ste E15, Fairlawn, Ohio |
Authorized Official Name and Position | Tania S Lodge (PSYCHOLOGIST/DIRECTOR) |
Authorized Official Contact | 3302716160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kindred Spirit Behavioral Health Po Box 4036 Copley OH 44321-0036 Ph: (330) 127-6160 | Kindred Spirit Behavioral Health 3618 W Market St Ste E15 Fairlawn OH 44333-2425 Ph: (330) 271-6160 |
NPI Number | 1093475899 |
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Provider Enumeration Date | 12/21/2021 |
Last Update Date | 03/01/2022 |
Certification Date | 03/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093475899 | NPI | - | NPPES |
0214582 | Medicaid | OH |
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