# MINDBRIDGE INTEGRATED HEALTH LLC

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

## Provider details

- **NPI number:** 1942078753
- **Authorized official:** GREGGORY STEPHENS LISW-S (OWNER/THERAPIST)
- **Authorized official phone:** (567) 674-1886

## Contact information

- **Practice address:** 244 PADDOCK CT, DELAWARE, OH 43015-1317
- **Practice address phone:** (567) 674-1886
- **Practice address fax:** (833) 895-1836
- **Mailing address:** 244 PADDOCK CT, DELAWARE, OH 43015-1317
- **Mailing address phone:** (567) 674-1886
- **Mailing address fax:** (833) 895-1836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023