Healthcare Provider Details

I. General information

NPI: 1639099484
Provider Name (Legal Business Name): SIERRA T JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 N WESTWOOD AVE
TOLEDO OH
43607-3559
US

IV. Provider business mailing address

4328 SHAWN TER
TOLEDO OH
43615-5424
US

V. Phone/Fax

Practice location:
  • Phone: 419-442-7982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: