Healthcare Provider Details

I. General information

NPI: 1700714201
Provider Name (Legal Business Name): STARR YVONNE EDWARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 PERTH ST
TOLEDO OH
43607-1418
US

IV. Provider business mailing address

1909 PERTH ST
TOLEDO OH
43607-1418
US

V. Phone/Fax

Practice location:
  • Phone: 419-409-1175
  • Fax:
Mailing address:
  • Phone: 419-409-1175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: