# FUNNER MENTAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1902578412
- **Authorized official:** KRISTYN MARIE FUNNER APRN (OWNER)
- **Authorized official phone:** (937) 305-2538

## Contact information

- **Practice address:** 4720 STRATHAVEN DRIVE, DAYTON, OH 45424-4662
- **Practice address phone:** (937) 305-2538
- **Mailing address:** 4720 STRATHAVEN DRIVE, DAYTON, OH 45424-4662
- **Mailing address phone:** (937) 305-2538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2021
- **Last updated:** 01/19/2024