MEDICARE: INCLUSIVE MINDS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1063375202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INCLUSIVE MINDS LLC

Provider Business Mailing Address
First Line	:	311 ELM ST STE 2701345
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2736
Country	:	US
Telephone Number	:	513-212-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 ELM ST STE 2701345
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2736
Country	:	US
Telephone Number	:	513-212-5933
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. CATHERINE M GUERRERO
Credential	:	LISW
Telephone Number	:	513-212-5933

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	01/05/2026

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