Healthcare Provider Details

I. General information

NPI: 1689467045
Provider Name (Legal Business Name): INPHINITE IMPACT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

788 MORRISON RD
GAHANNA OH
43230-6642
US

IV. Provider business mailing address

788 MORRISON RD
GAHANNA OH
43230-6642
US

V. Phone/Fax

Practice location:
  • Phone: 614-626-0011
  • Fax:
Mailing address:
  • Phone: 614-626-0011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. RICH JAMES
Title or Position: CEO
Credential:
Phone: 614-653-8178