Provider Demographics
NPI:1568872943
Name:THE VILLAGE NETWORK
Entity Type:Organization
Organization Name:THE VILLAGE NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT CONTRACT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STARLYNN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BLASCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW LSW
Authorized Official - Phone:330-402-8888
Mailing Address - Street 1:94 RIDGEWAY ST
Mailing Address - Street 2:
Mailing Address - City:STRUTHERS
Mailing Address - State:OH
Mailing Address - Zip Code:44471-2070
Mailing Address - Country:US
Mailing Address - Phone:330-402-8888
Mailing Address - Fax:
Practice Address - Street 1:94 RIDGEWAY ST
Practice Address - Street 2:
Practice Address - City:STRUTHERS
Practice Address - State:OH
Practice Address - Zip Code:44471-2070
Practice Address - Country:US
Practice Address - Phone:330-402-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1201529251B00000X, 251S00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency