MEDICARE: STACY C BEAN

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	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1841975182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACY C BEAN

Provider Business Mailing Address
First Line	:	4224 N LOCKWOOD AVE UPPR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1747
Country	:	US
Telephone Number	:	419-297-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	4224 N LOCKWOOD AVE UPPR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1747
Country	:	US
Telephone Number	:	419-297-3035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/15/2023

Similar Medicare Providers

1821955501 — NXTLVL, LLC
Practice Location Address:

3931 WILLYS PKWY
TOLEDO, OH
43612-1216

Practice Phone: 419-481-3635
Practice Fax: 419-481-3635

1457356891 — DR. MICHAEL E JUDY D.D.S.
Practice Location Address:

5919 TELETOWNE DR , STE 5
TOLEDO, OH
43612-4601

Practice Phone: 419-476-0225
Practice Fax: 416-476-9731

1891795829 — BROOKESIDE AMBULANCE SERVICE INC
Practice Location Address:

640 PHILLIPS AVE
TOLEDO, OH
43612

Practice Phone: 419-476-7442
Practice Fax: 419-476-9936

1881687101 — MADHUSUDAN F PATEL MD
Practice Location Address:

723 PHILLIPS AVE , SUITE 201-A
TOLEDO, OH
43612-1300

Practice Phone: 419-476-2124
Practice Fax: 419-476-3882

1326031410 — DANIEL COLE C.O.
Practice Location Address:

723 PHILLIPS AVE , SUITE F
TOLEDO, OH
43612-1362

Practice Phone: 419-476-4248
Practice Fax: 419-476-6655

1699740530 — COUSINS MEDICAL SUPPLIES, INC.
Practice Location Address:

5517 TELEGRAPH RD , SUITE A
TOLEDO, OH
43612-3630

Practice Phone: 419-478-0099
Practice Fax: 419-478-0097

Directions to “ STACY C BEAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.