# FITMIND MENTAL HEALTH PRACTICE, LLC

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

## Provider details

- **NPI number:** 1992429666
- **Authorized official:** MS. SHULAMMITE FANEGAN APRN (PMHNP-BC)
- **Authorized official phone:** (513) 858-2732

## Contact information

- **Practice address:** 1244 NILLES RD STE 10, FAIRFIELD, OH 45014-2788
- **Practice address phone:** (513) 858-2732
- **Mailing address:** 5759 GLEN ABBY CT, LIBERTY TWP, OH 45011-2270

## 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:** 09/27/2022
- **Last updated:** 03/23/2023
