Provider Demographics
NPI:1740992130
Name:CLEARMIND HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:CLEARMIND HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NKECHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:513-628-7538
Mailing Address - Street 1:850 EUCLID AVE STE 819
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-3315
Mailing Address - Country:US
Mailing Address - Phone:513-409-0116
Mailing Address - Fax:513-409-0150
Practice Address - Street 1:850 EUCLID AVE STE 819
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3315
Practice Address - Country:US
Practice Address - Phone:513-409-0116
Practice Address - Fax:513-409-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty