Provider Demographics
NPI:1568144079
Name:TOLEDO FAMILY THERAPY, LLC
Entity Type:Organization
Organization Name:TOLEDO FAMILY THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMAR
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:419-973-8009
Mailing Address - Street 1:7551 PEACHTREE LN
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-4402
Mailing Address - Country:US
Mailing Address - Phone:419-973-8009
Mailing Address - Fax:419-930-4038
Practice Address - Street 1:3335 MEIJER DR STE 450
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3122
Practice Address - Country:US
Practice Address - Phone:419-973-8009
Practice Address - Fax:419-930-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty