Healthcare Provider Details

I. General information

NPI: 1427632330
Provider Name (Legal Business Name): ALYSSA DAMSCHRODER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W SANDUSKY ST
FINDLAY OH
45840-3215
US

IV. Provider business mailing address

112 E DUDLEY ST
MAUMEE OH
43537-3366
US

V. Phone/Fax

Practice location:
  • Phone: 419-326-5732
  • Fax:
Mailing address:
  • Phone: 419-326-5732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.162530
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2405782
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: