Provider Demographics
NPI:1134938111
Name:TOTH, LOGAN OLIVIA (MA, CTRS, CT)
Entity type:Individual
Prefix:
First Name:LOGAN
Middle Name:OLIVIA
Last Name:TOTH
Suffix:
Gender:F
Credentials:MA, CTRS, CT
Other - Prefix:
Other - First Name:LOGAN
Other - Middle Name:OLIVIA
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CTRS
Mailing Address - Street 1:937 FORESTBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-7603
Mailing Address - Country:US
Mailing Address - Phone:440-251-6885
Mailing Address - Fax:
Practice Address - Street 1:8251 MAYFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2567
Practice Address - Country:US
Practice Address - Phone:440-299-7909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406420-TRNE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor