Provider Demographics
NPI:1841611217
Name:THE VILLAGE NETWORK INC
Entity Type:Organization
Organization Name:THE VILLAGE NETWORK INC
Other - Org Name:THE VILLAGE NETWORK INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAREANE
Authorized Official - Middle Name:
Authorized Official - Last Name:NUBY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:330-207-3230
Mailing Address - Street 1:150 FAIRDALE AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1075
Mailing Address - Country:US
Mailing Address - Phone:330-207-3230
Mailing Address - Fax:
Practice Address - Street 1:150 FAIRDALE AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1075
Practice Address - Country:US
Practice Address - Phone:330-207-3230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0500644251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health