Healthcare Provider Details

I. General information

NPI: 1154239408
Provider Name (Legal Business Name): THREADS WITHIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 JOHNS ST APT L
WELLINGTON OH
44090-1272
US

IV. Provider business mailing address

123 JOHNS ST APT L
WELLINGTON OH
44090-1272
US

V. Phone/Fax

Practice location:
  • Phone: 440-654-3060
  • Fax:
Mailing address:
  • Phone: 440-654-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE LANE
Title or Position: FOUNDER AND OWNER
Credential: MSW LISW
Phone: 419-515-0197