Organization
MINDSCAPES
Active
Other names
MINDscapes, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA S COLEMAN (OFFICE MANAGER)
(614) 604-6067
Entity
Organization
Contact information
Practice address
1241 HILL RD N, PICKERINGTON, OH 43147-7989
(614) 604-6067
(614) 604-6529
Mailing address
1241 HILL RD N, PICKERINGTON, OH 43147-7989
(614) 604-6067
(614) 604-6529
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380208
—
OH
01
—
1023631447
OTPTAT BOARD
OH
01
—
1063972362
SPEECH AND HEARING PROFESSIONALS BOARD
OH
01
—
1659703676
PSYCHOLOGY BOARD
OH
01
—
1720497217
SPEECH AND HEARING PROFESSIONALS BOARD
OH
01
—
1851925465
COTA/L
OH
Enumeration date
12/16/2019
Last updated
07/03/2020
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