Provider Demographics
NPI:1730056466
Name:FAITHMIND BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:FAITHMIND BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER / ADMINISTRATOR / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARISE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAH
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, PMHNP-BC
Authorized Official - Phone:484-597-4513
Mailing Address - Street 1:1057 SAINT CLAIR AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-3007
Mailing Address - Country:US
Mailing Address - Phone:484-597-4513
Mailing Address - Fax:
Practice Address - Street 1:1057 SAINT CLAIR AVE APT 23
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-3007
Practice Address - Country:US
Practice Address - Phone:484-597-4513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care