Healthcare Provider Details

I. General information

NPI: 1851237051
Provider Name (Legal Business Name): URBANMIND BEHAVIORAL HEALTH AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 JOYFUL ST
COLUMBUS OH
43204-1147
US

IV. Provider business mailing address

642 JOYFUL ST
COLUMBUS OH
43204-1147
US

V. Phone/Fax

Practice location:
  • Phone: 614-603-8690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CURTIS L GORE
Title or Position: OPERATION MANAGER
Credential:
Phone: 614-603-8690