Healthcare Provider Details

I. General information

NPI: 1821909474
Provider Name (Legal Business Name): KAIZEN EDUCATIONAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 COMMERCE DR STE 300
PERRYSBURG OH
43551-5275
US

IV. Provider business mailing address

741 COMMERCE DR STE 300
PERRYSBURG OH
43551-5275
US

V. Phone/Fax

Practice location:
  • Phone: 567-205-9785
  • Fax:
Mailing address:
  • Phone: 567-205-9785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CHELSAE SIEBENALER
Title or Position: CO-OWNER, SCHOOL PSYCHOLOGIST
Credential: M.ED., ED.S.
Phone: 567-205-9785