Healthcare Provider Details

I. General information

NPI: 1285567982
Provider Name (Legal Business Name): HEROIC SOUL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4450 CARVER WOODS DR STE 1
BLUE ASH OH
45242-5528
US

IV. Provider business mailing address

8773 CONSTANCE LN
CINCINNATI OH
45231-4701
US

V. Phone/Fax

Practice location:
  • Phone: 513-279-8321
  • Fax:
Mailing address:
  • Phone: 513-279-8321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES COLMAR
Title or Position: PSYCHOLOGIST
Credential: PSY.D
Phone: 513-279-8321