# FAIRBORN MENTAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fairborn Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669978656
- **Authorized official:** MS. SHEILA R DUNN APRN (OWNER)
- **Authorized official phone:** (937) 768-6867

## Contact information

- **Practice address:** 323 N BROAD ST, FAIRBORN, OH 45324-4934
- **Practice address phone:** (937) 318-8103
- **Practice address fax:** (937) 867-5268
- **Mailing address:** 323 N BROAD ST, FAIRBORN, OH 45324-4934
- **Mailing address phone:** (937) 318-8103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.18073 | OH | Yes |

## Other

- **Enumeration date:** 03/30/2018
- **Last updated:** 03/30/2018