Healthcare Provider Details

I. General information

NPI: 1609795798
Provider Name (Legal Business Name): P.C. WORKSHOP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W CAROLINE ST
PAULDING OH
45879-1381
US

IV. Provider business mailing address

900 W CAROLINE ST
PAULDING OH
45879-1381
US

V. Phone/Fax

Practice location:
  • Phone: 419-399-4805
  • Fax:
Mailing address:
  • Phone: 419-399-4805
  • Fax: 419-399-3897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MEGAN ELIZABETH SIERRA
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential:
Phone: 419-399-4805