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Contact Information

LAKESIDE BEHAVIORAL SOLUTIONS
5944 1/2 HOHMAN AVE.
HAMMOND, IN46320
 Phone: 219-801-1789
 Fax: 219-354-0356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LAKESIDE BEHAVIORAL SOLUTIONS

NPI # 1407108079
LBN Legal business name LAKESIDE BEHAVIORAL SOLUTIONS
Authorized official CLEOTIS WHITE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2012
Last updated 10/08/2012 - About 14 years ago
Identifiers
IN License # 1636-0-ASO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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