Healthcare Provider Details

I. General information

NPI: 1346187309
Provider Name (Legal Business Name): SUCCESS THROUGH ATTAINING RESILIENCE AND SELF SUFFICIENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 SUNFOREST CT STE 242
TOLEDO OH
43623-4522
US

IV. Provider business mailing address

2142 MILES AVE STE 242
TOLEDO OH
43606-4547
US

V. Phone/Fax

Practice location:
  • Phone: 419-283-3436
  • Fax:
Mailing address:
  • Phone: 419-283-3436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SMITH-SHELTON
Title or Position: DIRECTOR-CEO
Credential: LISW-S
Phone: 419-283-3436