Provider Demographics
NPI:1508484957
Name:JONES, LUCYNTHIA DAWN (QMHS)
Entity Type:Individual
Prefix:MRS
First Name:LUCYNTHIA
Middle Name:DAWN
Last Name:JONES
Suffix:
Gender:F
Credentials:QMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2283 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43620-1205
Mailing Address - Country:US
Mailing Address - Phone:419-244-2175
Mailing Address - Fax:419-214-3789
Practice Address - Street 1:2910 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-7702
Practice Address - Country:US
Practice Address - Phone:419-776-7157
Practice Address - Fax:419-214-3789
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator