Healthcare Provider Details

I. General information

NPI: 1558287409
Provider Name (Legal Business Name): RENEWED MIND MENTAL AND BEHAVIORAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 HIGHLAND RIDGE DR
PICKERINGTON OH
43147-3508
US

IV. Provider business mailing address

122 HIGHLAND RIDGE DR
PICKERINGTON OH
43147-3508
US

V. Phone/Fax

Practice location:
  • Phone: 614-332-2566
  • Fax:
Mailing address:
  • Phone: 614-332-2566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL INAH
Title or Position: CEO
Credential:
Phone: 614-332-2566