Healthcare Provider Details

I. General information

NPI: 1043143555
Provider Name (Legal Business Name): EMPOWERING CONNECTIONS CDC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 SOUTHWYCK BLVD STE 203F
TOLEDO OH
43614-1514
US

IV. Provider business mailing address

5810 SOUTHWYCK BLVD STE 203F
TOLEDO OH
43614-1514
US

V. Phone/Fax

Practice location:
  • Phone: 419-932-5601
  • Fax:
Mailing address:
  • Phone: 419-932-5601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SHARON R WYNN II
Title or Position: OWNER
Credential:
Phone: 419-932-5601