Healthcare Provider Details

I. General information

NPI: 1780292946
Provider Name (Legal Business Name): CATASHIA R HASKINS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date: 09/11/2022
Reactivation Date: 05/04/2023

III. Provider practice location address

1212 CHERRY ST
TOLEDO OH
43608-2906
US

IV. Provider business mailing address

1425 STARR AVE
TOLEDO OH
43605-2456
US

V. Phone/Fax

Practice location:
  • Phone: 419-693-0631
  • Fax: 419-936-7606
Mailing address:
  • Phone: 419-936-7600
  • Fax: 419-936-7606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2505100
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: