Healthcare Provider Details
I. General information
NPI: 1306577481
Provider Name (Legal Business Name): RIGHT MIND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2022
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7601 CHEVIOT RD
CINCINNATI OH
45247-4036
US
IV. Provider business mailing address
6941 ROSEMARY LN
CINCINNATI OH
45236-4231
US
V. Phone/Fax
- Phone: 513-667-2165
- Fax: 513-672-1119
- Phone: 513-667-2165
- Fax: 513-672-1119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHANIE
RYALL
Title or Position: CLINICAL DIRECTOR
Credential: LPCC-S, NCC, BCN
Phone: 513-667-2165