Healthcare Provider Details

I. General information

NPI: 1104565647
Provider Name (Legal Business Name): ABIGAIL IRENE WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 COBURN ST
AKRON OH
44311-1459
US

IV. Provider business mailing address

150 CROSS STREET
AKRON OH
44311-1026
US

V. Phone/Fax

Practice location:
  • Phone: 330-315-3729
  • Fax:
Mailing address:
  • Phone: 330-996-9141
  • Fax: 330-253-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: