Organization
NORTHSTAR PSYCHOLOGICAL LLC
Active
Organization
NORTHSTAR PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY STOUT (BILLING MANAGER)
(330) 331-7506
Entity
Organization
Contact information
Practice address
6500 ROCKSIDE RD STE 150, INDEPENDENCE, OH 44131-2367
(330) 331-7506
Mailing address
6363 PROMWAY AVE NW STE 150, CANTON, OH 44720-7619
(330) 331-7506
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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