Healthcare Provider Details

I. General information

NPI: 1730071663
Provider Name (Legal Business Name): MINDFUL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4333 HAMILTON RD
MEDINA OH
44256-9089
US

IV. Provider business mailing address

4333 HAMILTON RD
MEDINA OH
44256-9089
US

V. Phone/Fax

Practice location:
  • Phone: 330-421-9768
  • Fax: 216-516-0496
Mailing address:
  • Phone: 330-421-9768
  • Fax: 216-516-0496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NICOLE ANNA RISKO
Title or Position: OWNER
Credential:
Phone: 330-421-9768