# SOARING ON SUCCESS, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639710361
- **Authorized official:** MR. DWAYNE LEE GIBSON JR. MSW (CEO)
- **Authorized official phone:** (419) 705-8682

## Contact information

- **Practice address:** 2146 N 13TH ST, TOLEDO, OH 43620-1909
- **Practice address phone:** (419) 705-8682
- **Mailing address:** 2146 N 13TH ST, TOLEDO, OH 43620-1909
- **Mailing address phone:** (419) 705-8682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/03/2019
- **Last updated:** 10/03/2019