Organization
MANRODT PSYCHIATRY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN LEE MANRODT APRN (OWNER)
(440) 381-8237
Entity
Organization
Contact information
Practice address
1991 CROCKER RD STE 600, WESTLAKE, OH 44145-6970
(440) 381-8237
(440) 306-3584
Mailing address
1991 CROCKER RD STE 600, WESTLAKE, OH 44145-6970
(440) 381-8237
(440) 306-3584
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/05/2022
Last updated
01/14/2025
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