Healthcare Provider Details

I. General information

NPI: 1548040520
Provider Name (Legal Business Name): INSPIRING MINDS BEHAVIORAL HEALTH AND ADDICTION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 PARSONS AVE
COLUMBUS OH
43206-2345
US

IV. Provider business mailing address

827 PARSONS AVE
COLUMBUS OH
43206-2345
US

V. Phone/Fax

Practice location:
  • Phone: 614-369-0041
  • Fax:
Mailing address:
  • Phone: 614-369-0041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MAHOGANEY MCKINNEY
Title or Position: MEMBER
Credential:
Phone: 614-369-0041