MEDICARE: MINDHAVEN COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669337804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDHAVEN COUNSELING LLC

Provider Business Mailing Address
First Line	:	8075 WASHINGTON VILLAGE DR STE 113
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1847
Country	:	US
Telephone Number	:	513-360-8554
Fax Number	:

Provider Business Practice Location Address
First Line	:	8075 WASHINGTON VILLAGE DR STE 113
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45458-1847
Country	:	US
Telephone Number	:	513-360-8554
Fax Number	:

Authorized Official
Title or Position	:	CONTRACTING MANAGER
Name	:	HOLLEY GRUENWALD
Credential	:
Telephone Number	:	513-252-7792

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

Similar Medicare Providers

1831292143 — HEALTHQUEST OF BLANCHESTER INC
Practice Location Address:

8057 WASHINGTON VILLAGE DR
DAYTON, OH
45458-1847

Practice Phone: 377-833-7719
Practice Fax: 888-315-2865

1881766772 — DAVID S MILLER PT
Practice Location Address:

8073 WASHINGTON VILLAGE DR , SUITE 110
DAYTON, OH
45458-1847

Practice Phone: 859-268-1201
Practice Fax: 859-268-1202

1205027612 — GEORGE R JEWELL PHD
Practice Location Address:

8075 WASHINGTON VILLAGE DR STE 1
DAYTON, OH
45458-1847

Practice Phone: 513-241-2370
Practice Fax: 513-241-6053

1679741128 — CROSSROADS HOSPICE OF DAYTON LLC
Practice Location Address:

8069 WASHINGTON VILLAGE DR
DAYTON, OH
45458-1847

Practice Phone: 937-312-3170
Practice Fax: 937-439-5903

1508099532 — MS. KATHERINE ANN BIEHN M.S., L.P.C.C.
Practice Location Address:

8063 WASHINGTON VILLAGE DR
DAYTON, OH
45458-1847

Practice Phone: 937-294-6004
Practice Fax: 937-294-9053

1851617195 — DRAYER PHYSICAL THERAPY INSTITUTE LLC
Practice Location Address:

8073 WASHINGTON VILLAGE DR , SUITE 110
DAYTON, OH
45458-1847

Practice Phone: 937-938-8380
Practice Fax: 937-938-8392

Directions to “MINDHAVEN COUNSELING LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.