MEDICARE: GROWING EXCELLENT MINDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033060231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWING EXCELLENT MINDS

Provider Business Mailing Address
First Line	:	6176 OLD FARM CT
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-4235
Country	:	US
Telephone Number	:	567-420-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	817 BRIGHTON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-3031
Country	:	US
Telephone Number	:	567-420-7100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAMISHA WOODLEY
Credential	:
Telephone Number	:	419-913-6328

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “GROWING EXCELLENT MINDS ” Practice Location

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