Healthcare Provider Details

I. General information

NPI: 1386566792
Provider Name (Legal Business Name): A LIFE'S PURPOSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 TECUMSEH ST
TOLEDO OH
43607-4359
US

IV. Provider business mailing address

1758 TECUMSEH ST
TOLEDO OH
43607-4359
US

V. Phone/Fax

Practice location:
  • Phone: 419-810-9229
  • Fax:
Mailing address:
  • Phone: 419-810-9229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRELL SCOTT
Title or Position: CORPORATE COMPLIANCE
Credential:
Phone: 419-297-2553