Organization
SMALL BEHAVIORAL HEALTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAKIYAH G. SMALL LPCC (OWNER/CLINICAL DIRECTOR)
(330) 338-1308
Entity
Organization
Contact information
Practice address
1213 COVENTRY ST, AKRON, OH 44306-2229
(330) 460-0113
Mailing address
2556 DURAND RD, FAIRLAWN, OH 44333-3835
(330) 338-1308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
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
Enumeration date
06/11/2020
Last updated
06/11/2020
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