Soaring on Success, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOARING ON SUCCESS, LLC

Practice address

5001 South Ave Lot 55
Toledo, OH 43615-6445

Phone

(419) 705-8682

NPI assigned

Oct 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dwayne Lee Gibson Jr.

Title

Ceo

Phone

(419) 705-8682

Specialties & licenses 3

Addresses

Tax ID family

Soaring on Success LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soaring on Success, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Toledo, OH
  • NPI 1639710361
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1174166516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SOUTH AVE LOT 55",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156445",
            "telephone_number": "419-705-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SOUTH AVE LOT 55",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156445",
            "telephone_number": "419-705-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING ON SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-705-8682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Snyder
• Sarah Snyder
• Silvia G. Snyder, LISW-S
• Tyler Patrick Snyder, MD
• Tonya May Snyr, LMT
• Soaring on Success, LLC
• Patricia Sobczak II Presser, FNP
• Jeffrey Davod Sobolewski, AU.D.
• Thomas C Sodeman, M.D.
• Michael James Soden, OTR/L

• Community/Behavioral Health Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.