Healthcare Provider Details

I. General information

NPI: 1033060231
Provider Name (Legal Business Name): GROWING EXCELLENT MINDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 BRIGHTON AVE
TOLEDO OH
43609-3031
US

IV. Provider business mailing address

6176 OLD FARM CT
TOLEDO OH
43612-4235
US

V. Phone/Fax

Practice location:
  • Phone: 567-420-7100
  • Fax:
Mailing address:
  • Phone: 567-420-7100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAMISHA WOODLEY
Title or Position: OWNER
Credential:
Phone: 419-913-6328