Active NPI
Child & Adolescent Behavioral Solutions LLC
- Adolescent and Children Mental Health Clinic/Center
- Perrysburg, OH
National Provider Identifier
1689443053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- CHILD & ADOLESCENT BEHAVIORAL SOLUTIONS LLC
- Practice address
- 402 Berkshire Dr
Perrysburg, OH 43551-1281 - Phone
- (216) 789-3929
- NPI assigned
- Dec 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Kless, APRN-BC, PMHCNS
- Title
- Owner
- Phone
- (216) 789-3929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
402 Berkshire Dr
Perrysburg, OH 43551-1281
Mailing address
402 Berkshire Dr
Perrysburg, OH 43551-1281
Phone (216) 789-3929
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1689443053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 BERKSHIRE DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511281",
"telephone_number": "216-789-3929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 BERKSHIRE DR",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511281",
"telephone_number": "216-789-3929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD & ADOLESCENT BEHAVIORAL SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "KLESS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-789-3929",
"authorized_official_credential": "APRN-BC, PMHCNS"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.