Healthcare Provider Details

I. General information

NPI: 1265925937
Provider Name (Legal Business Name): PHILLIP DUNCAN LAHUE LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 W MARKET ST
AKRON OH
44303-1406
US

IV. Provider business mailing address

PO BOX 31
WADSWORTH OH
44282-0031
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-4600
  • Fax: 330-643-0767
Mailing address:
  • Phone: 330-238-8922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2607045
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: