| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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