Provider Demographics
NPI:1407325939
Name:LSWHB LLC
Entity Type:Organization
Organization Name:LSWHB LLC
Other - Org Name:ETHOS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEWELL
Authorized Official - Middle Name:DEL
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:513-404-9932
Mailing Address - Street 1:675 HOBBY HORSE LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1461
Mailing Address - Country:US
Mailing Address - Phone:513-443-1700
Mailing Address - Fax:855-919-6229
Practice Address - Street 1:675 HOBBY HORSE LN
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1461
Practice Address - Country:US
Practice Address - Phone:513-443-1700
Practice Address - Fax:855-919-6229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty