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EMBOLDENED MIND LLC
NPI 1629718440
Nurse Practitioner - Psychiatric/Mental Health in Dayton, OH

Active since March 30, 2022
318 REGENCY RIDGE DR, DAYTON, OH 45459(937) 204-3505 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Emboldened Mind Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBOLDENED MIND LLC (NPI 1629718440) is a healthcare organization registered as a psychiatric/mental health in Dayton, Ohio and active in the NPI registry since March 2022. The organization lists Emboldened Wellness Therapeutics, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1629718440
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEMBOLDENED MIND LLC
Location Address318 REGENCY RIDGE DRDayton, OH 45459-4251
Mailing Address6254 Wilmington Pike # 1011Centerville, OH 45459-7020 · (614) 323-0028 · Fax (606) 202-7598
Phone(937) 204-3505
Organization SubpartNo
Authorized OfficialEmboldened Wellness TherapeuticsAuthorized Official · (937) 204-3505
Enumeration DateMarch 30, 2022
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1629718440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
318 REGENCY RIDGE DR, Dayton, OH 45459
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY ANNE MORRIS LPC
Counselor (Mental Health)
318 REGENCY RIDGE DR
DAYTON, OH 45459
Montgomery County (662) 202-6245
CARPENTER COUNSELING
Counselor (Mental Health)
318 REGENCY RIDGE DR
DAYTON, OH 45459
Montgomery County (937) 260-0657
KARA N CARPENTER
Counselor (Mental Health)
318 REGENCY RIDGE DR
DAYTON, OH 45459
Montgomery County (937) 260-0657
MRS. KERA CHRISTINE BURBA M.S., LPCC
Counselor (Professional)
318 REGENCY RIDGE DR
CENTERVILLE, OH 45459
Montgomery County (937) 477-8416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emboldened Mind LLC's NPI number?

The NPI number for Emboldened Mind LLC is 1629718440. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is Emboldened Mind LLC located?

Emboldened Mind LLC is located at 318 Regency Ridge Dr, Dayton, OH 45459. The listed phone number is (937) 204-3505.

What is Emboldened Mind LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Emboldened Mind LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.