Healthcare Provider Details

I. General information

NPI: 1922925759
Provider Name (Legal Business Name): R&R LIFE ENRICHMENT VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 WAYBRIDGE RD
TOLEDO OH
43612-3200
US

IV. Provider business mailing address

707 WAYBRIDGE RD
TOLEDO OH
43612-3200
US

V. Phone/Fax

Practice location:
  • Phone: 419-250-3468
  • Fax:
Mailing address:
  • Phone: 419-250-3468
  • Fax:

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 State

VIII. Authorized Official

Name: RANEL HEARD
Title or Position: CEO/ CLINICAL ADMINISTRATOR
Credential: LISW-S
Phone: 419-250-3468