Healthcare Provider Details

I. General information

NPI: 1871369892
Provider Name (Legal Business Name): DORIAN LAMONTE MCGHEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 E GLENWOOD AVE
AKRON OH
44310
US

IV. Provider business mailing address

3632 W MARKET ST STE 105
FAIRLAWN OH
44333-2494
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.193956
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.001957
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: