| Kindred Spirit Behavioral Health | |
|
3618 W Market St # E15 Fairlawn OH 44333-2425 | |
| (234) 466-0445 | |
| Not Available |
| Full Name | Kindred Spirit Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3618 W Market St # E15, Fairlawn, Ohio |
| Authorized Official Name and Position | Tania S Lodge (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2344660445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kindred Spirit Behavioral Health Po Box 4036 Copley OH 44321-0036 Ph: (330) 271-6160 | Kindred Spirit Behavioral Health 3618 W Market St # E15 Fairlawn OH 44333-2425 Ph: (234) 466-0445 |
| NPI Number | 1396493185 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 09/22/2022 |
| Certification Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396493185 | NPI | - | NPPES |
| 0478831 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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