Healthcare Provider Details

I. General information

NPI: 1881387355
Provider Name (Legal Business Name): SPEAK TO MENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7813 N DIXIE DR
DAYTON OH
45414-2719
US

IV. Provider business mailing address

7813 N DIXIE DR
DAYTON OH
45414-2719
US

V. Phone/Fax

Practice location:
  • Phone: 937-422-1914
  • Fax:
Mailing address:
  • Phone: 937-422-1914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NYIRRAH GODDARD
Title or Position: CO-OWNER
Credential: QMHS
Phone: 937-422-1914