Healthcare Provider Details

I. General information

NPI: 1629670039
Provider Name (Legal Business Name): ABENA ROWLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2020
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 ADAMS ST
TOLEDO OH
43604-2714
US

IV. Provider business mailing address

5726 SOUTHWYCK BLVD STE 200-B
TOLEDO OH
43614-1559
US

V. Phone/Fax

Practice location:
  • Phone: 419-270-7901
  • Fax: 419-270-7901
Mailing address:
  • Phone: 419-214-1766
  • Fax: 419-214-1792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number01-8937
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number01-8165
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: