Healthcare Provider Details

I. General information

NPI: 1164288544
Provider Name (Legal Business Name): CHRISTINE A STOLL CPRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2024
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W BARTGES ST
AKRON OH
44307-2251
US

IV. Provider business mailing address

925 CLYDE AVE APT H
CUYAHOGA FALLS OH
44221-5178
US

V. Phone/Fax

Practice location:
  • Phone: 330-797-4050
  • Fax:
Mailing address:
  • Phone: 330-775-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberAPS.004285
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: