Healthcare Provider Details

I. General information

NPI: 1285565036
Provider Name (Legal Business Name): MISSION MENTAL HEALTH OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3215 DOUGLAS RD
TOLEDO OH
43606-2057
US

IV. Provider business mailing address

6120 FINZEL RD
WHITEHOUSE OH
43571-9589
US

V. Phone/Fax

Practice location:
  • Phone: 419-367-7583
  • Fax:
Mailing address:
  • Phone: 419-367-7583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RHONDA CROWE
Title or Position: CLINICAL DIRECTOR
Credential: L.I.S.W.
Phone: 419-705-6740