Healthcare Provider Details

I. General information

NPI: 1982528402
Provider Name (Legal Business Name): RISING MINDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 W SECOND ST STE 200 #225
DAYTON OH
45402
US

IV. Provider business mailing address

40 W SECOND ST STE 200 #225
DAYTON OH
45402-1873
US

V. Phone/Fax

Practice location:
  • Phone: 937-356-3981
  • Fax:
Mailing address:
  • Phone: 937-356-3981
  • Fax:

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: LESLIE SPEARS
Title or Position: MANAGING MEMBER
Credential:
Phone: 939-356-3981