FAIRBORN MENTAL HEALTH LLC NPI 1669978656

NPI Information

  • NPI: 1669978656
  • Provider Name: FAIRBORN MENTAL HEALTH LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: FAIRBORN MENTAL HEALTH
  • Address: 323 N BROAD ST
    FAIRBORN, OH
    ZIP 45324
  • Phone: (937) 318-8103

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NPI Details

FAIRBORN MENTAL HEALTH LLC is a psychiatric/mental health nurse practitioner in Fairborn, OH. FAIRBORN MENTAL HEALTH LLC NPI is 1669978656. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fairborn Mental Health.

The provider's business location address is:

323 N BROAD ST
FAIRBORN, OH
ZIP 45324-934
Phone: (937) 318-8103
Fax: (937) 867-5268

The provider's authorized official is Sheila R Dunn .
The authorized official title is Owner and has the following contact phone number (937) 768-6867.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.18073OHIOYes

What is NPI?

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

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