Healthcare Provider Details

I. General information

NPI: 1225946734
Provider Name (Legal Business Name): OPAL MEADOW PSYCHIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 LILA AVE
MILFORD OH
45150-1683
US

IV. Provider business mailing address

970 LILA AVE
MILFORD OH
45150-1683
US

V. Phone/Fax

Practice location:
  • Phone: 513-547-2785
  • Fax: 513-880-0639
Mailing address:
  • Phone: 513-547-2785
  • Fax: 513-880-0639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEATHER SCHIBI
Title or Position: OWNER
Credential: APRN
Phone: 513-547-2785