Provider Demographics
NPI:1003709833
Name:UNBREAKABLE MINDS
Entity type:Organization
Organization Name:UNBREAKABLE MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDSEY-WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:220-219-6059
Mailing Address - Street 1:5510 WESTERVILLE CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-9630
Mailing Address - Country:US
Mailing Address - Phone:220-219-6059
Mailing Address - Fax:
Practice Address - Street 1:5510 WESTERVILLE CROSSING DRIVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081
Practice Address - Country:US
Practice Address - Phone:220-219-6059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)