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.
Organization
MAVERICK MENTAL HEALTH, LLC
Active
Organization
MAVERICK MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA SEABOLT PH.D. (OWNER)
(419) 266-5251
Entity
Organization
Contact information
Practice address
5151 MAIN ST, SYLVANIA, OH 43560-2184
(419) 266-0072
(419) 754-2306
Mailing address
5151 MAIN ST, SYLVANIA, OH 43560-2184
(419) 266-0072
(419) 754-2306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122140
—
OH
Enumeration date
03/12/2025
Last updated
09/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up