National Provider Identifier Database

LAKESIDE BEHAVIORAL SOLUTIONS
Community/Behavioral Health

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.


Contact Information

LAKESIDE BEHAVIORAL SOLUTIONS
5944 1/2 HOHMAN AVE.
HAMMOND, IN46320
Phone: 219-801-1789
Fax: 219-354-0356
Website:
Specialty Taxonomy Code
* Community/Behavioral Health 251S00000X

* Indicates primary specialty

NPI Profile & details for LAKESIDE BEHAVIORAL SOLUTIONS

NPI Number 1407108079
Legal business name
LBN
LAKESIDE BEHAVIORAL SOLUTIONS
Authorized official CLEOTIS WHITE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/08/2012
Last updated 10/08/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 1636-0-ASO

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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