Organization · Type 2 NPI

A Crystal Mind

Psychiatric/Mental Health Nurse Practitioner · Cincinnati, OH

NPI number 1467068262 Active

Practice location

4015 Executive Park Dr Ste 310
Cincinnati, OH 45241-4015

Call (513) 923-6336 Map

Fax (562) 261-1296

Mailing address

PO Box 1441
West Chester, OH 45071-1441

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed
Assisted Living Facility (Mental Illness) 3104A0625XNone listed
Mental Illness Intermediate Care Facility 310500000XNone listed
Alzheimer Center (Dementia Center) 311500000XNone listed
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467068262

A Crystal Mind's National Provider Identifier is 1467068262, issued on Sep 17, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cincinnati, OH. The record was last updated on Jan 16, 2021.