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Organization
MASSIVE MENTAL HEALTH SERVICES
Active
Organization
MASSIVE MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADY CHRISTINE CROCKETT (CHIEF EXECUTIVE OFFICER)
(513) 790-4367
Entity
Organization
Contact information
Practice address
1329 E KEMPER RD STE 4420B, SPRINGDALE, OH 45246-5101
(513) 790-4367
(513) 572-7142
Mailing address
1329 E KEMPER RD STE 4220B, SPRINGDALE, OH 45246-5100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
12/09/2025
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