Provider Demographics
NPI:1801676887
Name:INSPIRING MINDS BEHAVIORAL HEALTH AND ADDICTION SERVICES
Entity type:Organization
Organization Name:INSPIRING MINDS BEHAVIORAL HEALTH AND ADDICTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAHOGANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-369-0041
Mailing Address - Street 1:2050 E WHEELING AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-2159
Mailing Address - Country:US
Mailing Address - Phone:614-369-0041
Mailing Address - Fax:
Practice Address - Street 1:827 PARSONS AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-2345
Practice Address - Country:US
Practice Address - Phone:614-369-0041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty