Provider Demographics
NPI:1912571902
Name:MINDING THE GAP
Entity Type:Organization
Organization Name:MINDING THE GAP
Other - Org Name:MINDING THE GAP, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:APRN-CNP.
Authorized Official - Prefix:
Authorized Official - First Name:DEE DEE (DENISE)
Authorized Official - Middle Name:D
Authorized Official - Last Name:HECHT-HEWIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD APRN-CNP
Authorized Official - Phone:330-451-6462
Mailing Address - Street 1:140 WADSWORTH ROAD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9503
Mailing Address - Country:US
Mailing Address - Phone:330-451-6462
Mailing Address - Fax:330-334-2235
Practice Address - Street 1:140 WADSWORTH ROAD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9503
Practice Address - Country:US
Practice Address - Phone:330-451-6462
Practice Address - Fax:330-334-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1366708976Medicaid