Organization
KINDRED SPIRIT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA LODGE PHD (CEO)
(234) 466-0445
Entity
Organization
Contact information
Practice address
3618 W MARKET ST # E15, FAIRLAWN, OH 44333-2425
(234) 466-0445
(234) 466-0359
Mailing address
3618 W MARKET ST # E15, FAIRLAWN, OH 44333-2425
(234) 466-0445
(234) 466-0359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
01/20/2026
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