SOARING ON SUCCESS, LLC (NPI# 1639710361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639710361 |
| Entity Type | Organization |
| Organization Name | SOARING ON SUCCESS, LLC |
| Practice Address |
2146 N 13th St Toledo OH 43620-1909 |
| Practice Telephone | 4197058682 |
| Mailing Telephone | 4197058682 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | MR. DWAYNE LEE GIBSON JR. (CEO) |
| Authorized Official Telephone | 4197058682 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166516 | Soaring On Success, LLC | Case Management | 5001 South Ave Lot 55, Toledo, OH 43615-6445 | 2019-10-17 |
| Street Address |
2146 N 13TH ST |
| City | TOLEDO |
| State | OH |
| Zip Code | 43620-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1942838404 | Emma L Mason | Student in an Organized Health Care Education/Training Program | Fcc-ob/gyn, 2213 Franklin St, Toledo, OH 43620 | 2020-03-31 |
| 1932762093 | Leela Miriyala | Student in an Organized Health Care Education/Training Program | Mercy Family Care Centre, 2213 Franklin Ave, Toledo, OH 43620 | 2019-04-15 |
| 1144726563 | Kelly Hildebrandt | Student in an Organized Health Care Education/Training Program | Mercy Health Pediatrics, 2213 Franklin Ave., Toledo, OH 43620 | 2018-04-04 |
| 1447754601 | Ansam Qaddoori Hasan | Student in an Organized Health Care Education/Training Program | Mercy Health Pediaterics, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-22 |
| 1730683038 | Rizwan Ishtiaq | Student in an Organized Health Care Education/Training Program | Mercy Family Care Center, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-21 |
| 1205338019 | Celia Marie Camardo Russo | Student in an Organized Health Care Education/Training Program | 2213 Franklin Street, Fcc-ob/gyn, Toledo, OH 43620 | 2018-03-07 |
| 1326547704 | Andrew Greene | Student in an Organized Health Care Education/Training Program | 2213 Franklin St, Fcc-ob/gyn, Toledo, OH 43620 | 2018-02-12 |
| 1073048096 | Akshita Singh | Internal Medicine | 2213 Franlklin Ave, 2nd Floor, Toledo, OH 43620 | 2017-04-27 |
| 1972038578 | Vanaja Theepa Sivakumar | Student in an Organized Health Care Education/Training Program | Mercy Health Franklin Avenue Pediatrics, 2213 Franklin St., Toledo, OH 43620 | 2017-04-21 |
| Find all providers in zip 43620 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610898 | Alyssa Banks | Clinic/Center | 915 N Erie St, Toledo, OH 43604-1605 | 2020-08-20 |
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| 1013952829 | Olalla Center | Clinic/Center | 321 Se 3rd St, Toledo, OR 97391-1613 | 2006-06-17 |
| 1376191486 | Carla Andrea Baucom | Clinic/Center | 3450 W Central Ave Ste 366e, Toledo, OH 43606-1416 | 2019-09-01 |
| 1619301934 | Lincoln County Child Day Treatment Center | Clinic/Center | 321 Se 3rd St, Toledo, OR 97391-1613 | 2013-08-22 |
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|---|---|---|---|---|
| 1295340511 | Alliance Therapeutic Practices, LLC | Clinic/Center | 822 Delta Ave Ste 1, Cincinnati, OH 45226-1256 | 2020-09-14 |
| 1154931574 | Compassionate Connections for Children LLC | Clinic/Center | 7060 Copperglow Ct, Cincinnati, OH 45244-3649 | 2020-08-01 |
| 1568085876 | Laura Irene Davis | Clinic/Center | 2020 Brice Rd Ste 110, Reynoldsburg, OH 43068-3448 | 2020-05-20 |
| 1407481021 | Counseling On Purpose, LLC | Clinic/Center | 1350 5th Ave Ste 310, Youngstown, OH 44504-1765 | 2020-03-04 |
| 1366928863 | Fairmount Mental Wellness LLC | Clinic/Center | 2460 Fairmount Blvd Ste 317, Cleveland Heights, OH 44106-3164 | 2018-07-17 |
| 1891286548 | Robin's House | Clinic/Center | 326 Bierce Ave, Dayton, OH 45403-2657 | 2018-05-29 |
| 1558869206 | Pathways Behavioral Healthcare, Inc. | Clinic/Center | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2018-01-29 |
| 1508379314 | Trumbull County Children Services | Clinic/Center | 2282 Reeves Rd Ne, Warren, OH 44483-4300 | 2017-11-15 |
| 1306229612 | Lettvin Psychiatric and Consulting Services, LLC | Clinic/Center | 76 E. Second Street, Chillicothe, OH 45601 | 2015-07-06 |
| 1023254927 | Andrew Colvin, Ph.d., LLC | Clinic/Center | 7650 Rivers Edge Dr Ste 140, Columbus, OH 43235-1342 | 2008-12-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.