Healthcare Provider Details

I. General information

NPI: 1245147289
Provider Name (Legal Business Name): DOMUS MUNDI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 WOODLAND AVE
AKRON OH
44302-1531
US

IV. Provider business mailing address

421 WOODLAND AVE
AKRON OH
44302-1531
US

V. Phone/Fax

Practice location:
  • Phone: 330-942-3014
  • Fax:
Mailing address:
  • Phone: 330-942-3014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BISHOP HARBER
Title or Position: EXECUTIVE DIRECTOR
Credential: LPCC
Phone: 330-942-3014