# MENTIS OHIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073042248
- **Authorized official:** MS. KIMBERLY K DUCLOS BA (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
- **Authorized official phone:** (713) 820-4212

## Contact information

- **Practice address:** 10101 ALLIANCE RD, BLUE ASH, OH 45242-4739
- **Practice address phone:** (713) 820-4200
- **Mailing address:** 6565 WEST LOOP S STE 410, BELLAIRE, TX 77401-3519
- **Mailing address phone:** (713) 820-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | OH | Yes |

## Other

- **Enumeration date:** 06/09/2017
- **Last updated:** 06/09/2017