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

Fairway Behavioral Health, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1780328344

Fairway Behavioral Health, LLC is a Psychiatric/Mental Health Nurse Practitioner in Wilmington, Ohio. Registered with an NPI since 2022.

In the registry since
2022
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

140 Fairway Dr
Wilmington, OH 45177-8008
Phone: (937) 992-1057
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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

Record details

NPI number1780328344
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polly Vaughan — Ceo · (937) 838-9550
NPI enumeratedApril 20, 2022
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022
Mailing address140 Fairway Dr, Wilmington, OH 45177-8008

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