Healthcare Provider Details

I. General information

NPI: 1225966708
Provider Name (Legal Business Name): INFINITE PATH MENTORING PROGRAM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10631 MILL RD
CINCINNATI OH
45240-3542
US

IV. Provider business mailing address

10631 MILL RD
CINCINNATI OH
45240-3542
US

V. Phone/Fax

Practice location:
  • Phone: 513-501-9634
  • Fax: 513-501-9634
Mailing address:
  • Phone: 513-501-9634
  • Fax: 513-501-9634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DESEAN FLAGG SR.
Title or Position: OWNER
Credential:
Phone: 513-501-9634