Healthcare Provider Details

I. General information

NPI: 1942160858
Provider Name (Legal Business Name): CHAMPIONED MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 NAVARRE AVE STE 200
OREGON OH
43616-3178
US

IV. Provider business mailing address

2300 NAVARRE AVE STE 200
OREGON OH
43616-3178
US

V. Phone/Fax

Practice location:
  • Phone: 419-764-5460
  • Fax:
Mailing address:
  • Phone: 419-764-5460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: ARNETHIA LEVEY
Title or Position: COO
Credential:
Phone: 419-754-5460