Healthcare Provider Details

I. General information

NPI: 1366321010
Provider Name (Legal Business Name): CAIDEN TWINING CT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 TARHE TRL
UPPER SANDUSKY OH
43351-8700
US

IV. Provider business mailing address

245 TARHE TRL
UPPER SANDUSKY OH
43351-8700
US

V. Phone/Fax

Practice location:
  • Phone: 419-294-1525
  • Fax: 419-209-0252
Mailing address:
  • Phone: 419-294-1525
  • Fax: 419-209-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2507527
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: