Provider Demographics
NPI:1194441303
Name:LSH MENTAL HEALTH SERVICES INC.
Entity type:Organization
Organization Name:LSH MENTAL HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALANDO
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:LONGMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-300-4809
Mailing Address - Street 1:7010 VINE ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45216-2032
Mailing Address - Country:US
Mailing Address - Phone:513-541-1584
Mailing Address - Fax:513-821-1584
Practice Address - Street 1:7010 VINE ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-2032
Practice Address - Country:US
Practice Address - Phone:513-541-1584
Practice Address - Fax:513-821-1584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care