Healthcare Provider Details

I. General information

NPI: 1659910784
Provider Name (Legal Business Name): MARIAH MARCEDES GARCIA LIGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MADISON AVE STE 500
TOLEDO OH
43604-1210
US

IV. Provider business mailing address

4754 VILLAGE LN APT 18
TOLEDO OH
43614-1843
US

V. Phone/Fax

Practice location:
  • Phone: 419-690-4544
  • Fax:
Mailing address:
  • Phone: 419-386-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613407
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: