Healthcare Provider Details

I. General information

NPI: 1245635549
Provider Name (Legal Business Name): TALBOT CLINICAL SERVICES OF OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2014
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 MAIN ST
TOLEDO OH
43605-2397
US

IV. Provider business mailing address

732 MAIN ST
TOLEDO OH
43605-2397
US

V. Phone/Fax

Practice location:
  • Phone: 833-762-1013
  • Fax:
Mailing address:
  • Phone: 419-509-7422
  • Fax: 419-691-0601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLIVIA MARIE DUNBAR
Title or Position: CEO
Credential: LISW
Phone: 517-499-9207