| Vital Minds, Llc | |
|
9122 Montgomery Rd Ste 18 Cincinnati OH 45242-7746 | |
| (513) 268-8575 | |
| (512) 268-2052 |
| Full Name | Vital Minds, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9122 Montgomery Rd Ste 18, Cincinnati, Ohio |
| Authorized Official Name and Position | Kelly Ann Ickes (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5132688575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Minds, Llc 9292 Steeplechase Dr Cincinnati OH 45242-4637 Ph: (513) 268-8575 | Vital Minds, Llc 9122 Montgomery Rd Ste 18 Cincinnati OH 45242-7746 Ph: (513) 268-8575 |
| NPI Number | 1902687932 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902687932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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