Healthcare Provider Details

I. General information

NPI: 1619808953
Provider Name (Legal Business Name): TONI CONYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 MADISON AVE STE 200
TOLEDO OH
43604-1230
US

IV. Provider business mailing address

6200 CHERI LYNNE DR
DAYTON OH
45415-2107
US

V. Phone/Fax

Practice location:
  • Phone: 937-998-8009
  • Fax:
Mailing address:
  • Phone: 937-602-8490
  • Fax: 937-602-8490

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:
Title or Position:
Credential:
Phone: