Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Panda Recovery Services, LLC

Organization Adult Mental Health Clinic/Center · NPI 1417793639

Panda Recovery Services, LLC is an Adult Mental Health Clinic/Center in Toledo, Ohio. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5330 Heatherdowns Blvd Ste 208
Toledo, OH 43614-4644
Phone: (419) 208-9121
Fax: (419) 208-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2501 Bragg Blvd, Fayetteville, NC 28303-4141 — (910) 786-3009

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1417793639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tameshia Wiggins — Pmhnp · (419) 208-9121
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address5330 Heatherdowns Blvd Ste 208, Toledo, OH 43614-4644

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