MIND REDO NPI 1497386148

NPI Information

NPI: 1497386148
Provider Name: MIND REDO
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
CLIA Number: 36D2283546
Address: 7320 STATE ROUTE 108 STE A
WAUSEON, OH
ZIP 43567
Phone: (419) 285-6655

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NPI Details

MIND REDO is a mental health (including community mental health center) clinic center in Wauseon, OH. MIND REDO NPI is 1497386148. The provider is registered as an organization entity type.

The provider's business location address is:

7320 STATE ROUTE 108 STE A
WAUSEON, OH
ZIP 43567-244
Phone: (419) 285-6655

The provider's authorized official is Sondra L Metts .
The authorized official title is Program Director and has the following contact phone number (419) 285-6655.

The CLIA number assigned to this NPI record is 36D2283546 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2020 and was last updated on 1/31/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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