MEDICARE: OPTIMAL BEHAVIOR & MENTAL HEALTH SOLUTIONS 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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1083425557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL BEHAVIOR & MENTAL HEALTH SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	6545 MARKET AVE N STE 100
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44721-2430
Country	:	US
Telephone Number	:	220-263-5706
Fax Number	:

Provider Business Practice Location Address
First Line	:	6545 MARKET AVE N STE 100
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44721-2430
Country	:	US
Telephone Number	:	220-263-5706
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DUANE BROWN
Credential	:	MBA
Telephone Number	:	220-263-5706

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	02/20/2026

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