Healthcare Provider Details

I. General information

NPI: 1134098700
Provider Name (Legal Business Name): KYLIE ROSE OPBLINGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KYLIE ROSE SNYDER

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1084 S MAIN ST STE A
BOWLING GREEN OH
43402-4740
US

IV. Provider business mailing address

1425 STARR AVE
TOLEDO OH
43605-2456
US

V. Phone/Fax

Practice location:
  • Phone: 419-352-4624
  • Fax: 419-936-7606
Mailing address:
  • Phone: 419-693-0631
  • Fax: 419-936-7606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.195787
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: