Healthcare Provider Details

I. General information

NPI: 1659810091
Provider Name (Legal Business Name): TAYLOR ANNE VOLLHABER LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 OAK ALLEY CT STE 214
TOLEDO OH
43606-1370
US

IV. Provider business mailing address

2930 W LINCOLNSHIRE BLVD
TOLEDO OH
43606-2821
US

V. Phone/Fax

Practice location:
  • Phone: 718-313-2899
  • Fax:
Mailing address:
  • Phone: 718-313-2899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2005420
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2507345
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: