Nurse Practitioner, Psych/Mental Health
EMBOLDENED MIND LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629718440 · enumerated 2022-03-30 · record updated 2022-04-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: EMBOLDENED WELLNESS THERAPEUTICS, Authorized Official · (937) 204-3505
Addresses and phones
- Practice location 318 REGENCY RIDGE DR, DAYTON, OH, 45459-4251 (937) 204-3505 Google Maps Apple Maps OpenStreetMap
- Mailing address 6254 WILMINGTON PIKE # 1011, CENTERVILLE, OH, 45459-7020 (614) 323-0028 Fax (606) 202-7598 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Nurse Practitioner, Psych/Mental Health 363LP0808X · Primary
In this directory
OH Montgomery County Dayton Nurse Practitioner, Psych/Mental Health
Locations and evidence
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Practice location
DAYTON, OH, 454594251
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.