Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emboldened Mind LLC

Organization Psychiatry Physician · NPI 1629718440

Emboldened Mind LLC is a Psychiatry Physician in Dayton, Ohio. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

318 Regency Ridge Dr
Dayton, OH 45459-4251
Phone: (937) 204-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1629718440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emboldened Wellness Therapeutics — Authorized Official · (937) 204-3505
NPI enumeratedMarch 30, 2022
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022
Mailing address6254 Wilmington Pike # 1011, Centerville, OH 45459-7020

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