Healthcare Provider Details

I. General information

NPI: 1689816506
Provider Name (Legal Business Name): EUDOXIA GRECOS LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 S REYNOLDS RD
TOLEDO OH
43615-7411
US

IV. Provider business mailing address

6956 RAMBLEHURST RD
SYLVANIA OH
43560-3547
US

V. Phone/Fax

Practice location:
  • Phone: 419-349-8818
  • Fax:
Mailing address:
  • Phone: 419-349-8818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberE.0700401-SUPV
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.0700401
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89422
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: