Howdy from a fellow Toledoan!

I lived in Cleveland for a couple of years, and started transition there. The PRIDE clinic is great, most of my friends go there for their hormones and bloodwork, the only complaint that they've ever had is that Dr. Ng tends to be a bit conservative in terms of dosages. But in terms of genuinely caring for the trans* spectrum, and doing advocacy for trans rights in his practice, there's no one better.
Me personally, I go to Dr. Weiss/Blackburn's office in Columbus for my hormones, they're a good option as well. (I went there because they do hormones on informed consent, plus are open during hours that were convenient for me due to my weird casino schedule while the PRIDE clinic is open during very limited hours.)
I'm not really sure what Toledo has to offer in terms of trans groups, I haven't really looked since moving here 7 months ago, but I do know of a nice friendly trans* meetup group in Cleveland that I used to go to a lot, run by two trans guys. Detroit also has trans groups, which is probably closer, but again, I haven't really looked personally since moving, so Cleveland's the only place I have active experience with in terms of community and accessibility.