Provider Demographics
NPI:1124729215
Name:ENHANCING MINDS MENTAL HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:ENHANCING MINDS MENTAL HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHUDONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:614-849-5911
Mailing Address - Street 1:90 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST JEFFERSON
Mailing Address - State:OH
Mailing Address - Zip Code:43162-1206
Mailing Address - Country:US
Mailing Address - Phone:614-849-5911
Mailing Address - Fax:
Practice Address - Street 1:90 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:43162-1206
Practice Address - Country:US
Practice Address - Phone:614-849-5911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)