Healthcare Provider Details

I. General information

NPI: 1346189610
Provider Name (Legal Business Name): SHAWN MCELYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5577 AIRPORT HWY STE 200
TOLEDO OH
43615-7364
US

IV. Provider business mailing address

5577 AIRPORT HWY STE 200
TOLEDO OH
43615-7364
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-0442
  • Fax: 419-754-2085
Mailing address:
  • Phone: 419-720-0442
  • Fax: 419-754-2085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: