Healthcare Provider Details

I. General information

NPI: 1093624223
Provider Name (Legal Business Name): OUR REDEMPTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 SALEM AVE FRNT LOWER
DAYTON OH
45406-2642
US

IV. Provider business mailing address

3535 SALEM AVE FRNT LOWER
DAYTON OH
45406-2642
US

V. Phone/Fax

Practice location:
  • Phone: 937-965-5811
  • Fax: 937-410-3056
Mailing address:
  • Phone: 937-965-5811
  • Fax: 937-410-3056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DARA HARDYMAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 937-965-5811