Healthcare Provider Details

I. General information

NPI: 1215648738
Provider Name (Legal Business Name): STRENGTH WORKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2022
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 WARSAW ST
TOLEDO OH
43608-1848
US

IV. Provider business mailing address

3141 WARSAW ST
TOLEDO OH
43608-1848
US

V. Phone/Fax

Practice location:
  • Phone: 419-410-4933
  • Fax:
Mailing address:
  • Phone: 419-410-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. SHIVELLA VONNER
Title or Position: CEO
Credential:
Phone: 419-410-4933