Soaring on Success, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

SOARING ON SUCCESS, LLC

Practice address

2146 N 13TH St
Toledo, OH 43620-1909

Phone

(419) 705-8682

NPI assigned

Oct 3, 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., MSW

Title

Ceo

Phone

(419) 705-8682

Specialties & licenses 1

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

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1174166516
  NPD tax ID

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1639710361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 N 13TH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201909",
            "telephone_number": "419-705-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N 13TH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436201909",
            "telephone_number": "419-705-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING ON SUCCESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "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.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• David Sohn, J.D., M.D.

• Adolescent and Children Mental Health Clinic/Center in Toledo, OH
• Providers in Toledo, OH by specialty
• Adolescent and Children Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.