NPIMap

Organization Active NPI

Healing Courageously LLC

Doing business as Andrea J Davis

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1780281634
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALING COURAGEOUSLY LLC
Doing business as
Andrea J Davis
Practice address
2602 Nebraska Ave
Toledo, OH 43607-3241
Phone
(419) 318-9121
NPI assigned
Oct 5, 2020
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Andrea Jo'Lea DavisNPI 1114418282
Title
Owner
Phone
(419) 376-9377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Professional Counselor 101YP2500X
Social Worker 104100000X
Marriage & Family Therapist 106H00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2602 Nebraska Ave
Toledo, OH 43607-3241

Mailing address

625 Pine Valley LN Apt 201
Toledo, OH 43615-7774
Phone (419) 376-9377

Other identifiers 4

IdentifierTypeStateIssuer
0071273MedicaidOH
0399049MedicaidOH
0290209MedicaidOH
0292454MedicaidOH

Other names 1

  • Andrea J Davis Doing business as

National Provider Directory

National Provider Directory

Locations

2602 Nebraska Ave
Toledo, OH 43607
Phone (419) 318-9121

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1780281634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PINE VALLEY LN APT 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157774",
            "telephone_number": "419-376-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 NEBRASKA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436073241",
            "telephone_number": "419-318-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING COURAGEOUSLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "JO'LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-376-9377"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071273",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399049",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290209",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea J Davis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.