Healthcare Provider Details

I. General information

NPI: 1023913001
Provider Name (Legal Business Name): ONE HEART ONE MIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2026
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 SOM CENTER RD
MAYFIELD HEIGHTS OH
44124-2118
US

IV. Provider business mailing address

1450 SOM CENTER RD
MAYFIELD HEIGHTS OH
44124-2118
US

V. Phone/Fax

Practice location:
  • Phone: 216-220-7257
  • Fax:
Mailing address:
  • Phone: 216-220-7257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. EBONY E DIXON
Title or Position: APRN
Credential: PMHNP-BC
Phone: 216-389-1127