Organization
HEALING COURAGEOUSLY LLC
Active
Other names
Andrea J Davis
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA JO'LEA DAVIS (OWNER)
(419) 376-9377
Entity
Organization
Contact information
Practice address
2602 NEBRASKA AVE, TOLEDO, OH 43607-3241
(419) 318-9121
Mailing address
625 PINE VALLEY LN APT 201, TOLEDO, OH 43615-7774
(419) 376-9377
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071273
—
OH
05
—
0290209
—
OH
05
—
0292454
—
OH
05
—
0399049
—
OH
Enumeration date
10/05/2020
Last updated
02/11/2025
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