Healthcare Provider Details
I. General information
NPI: 1700617198
Provider Name (Legal Business Name): SUNFOREST BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2024
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3900 SUNFOREST CT STE 227
TOLEDO OH
43623-4440
US
IV. Provider business mailing address
3900 SUNFOREST CT STE 227
TOLEDO OH
43623-4440
US
V. Phone/Fax
- Phone: 419-724-6567
- Fax:
- Phone: 419-724-6567
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALINA
RAIS
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 419-724-6567