Organization
MINDWELL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN SMITH (OWNER/PRESIDENT)
(614) 704-8174
Entity
Organization
Contact information
Practice address
40 W 2ND ST, DAYTON, OH 45402-1873
(937) 315-2643
Mailing address
5301 KITRIDGE RD, DAYTON, OH 45424-4439
(937) 315-2643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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