Healthcare Provider Details

I. General information

NPI: 1730056466
Provider Name (Legal Business Name): FAITHMIND BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 SAINT CLAIR AVE APT 23
HAMILTON OH
45015-3007
US

IV. Provider business mailing address

1057 SAINT CLAIR AVE APT 23
HAMILTON OH
45015-3007
US

V. Phone/Fax

Practice location:
  • Phone: 484-597-4513
  • Fax:
Mailing address:
  • Phone: 484-597-4513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CLARISE NYAH
Title or Position: CO-OWNER / ADMINISTRATOR / CEO
Credential: DNP, APRN, PMHNP-BC
Phone: 484-597-4513