Healthcare Provider Details

I. General information

NPI: 1679380166
Provider Name (Legal Business Name): THERAPEUTIC BY NATURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3178 N REPUBLIC BLVD STE 11
TOLEDO OH
43615-1516
US

IV. Provider business mailing address

3178 N REPUBLIC BLVD STE 11
TOLEDO OH
43615-1516
US

V. Phone/Fax

Practice location:
  • Phone: 567-200-2011
  • Fax: 567-302-3725
Mailing address:
  • Phone: 567-200-2011
  • Fax: 567-302-3725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEPHANIE MARIE BELL WEST
Title or Position: OWNER
Credential:
Phone: 567-200-2011