Healthcare Provider Details

I. General information

NPI: 1477310902
Provider Name (Legal Business Name): LI'ONNA WAHID SW-T
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 S HAWKINS AVE
AKRON OH
44320-3902
US

IV. Provider business mailing address

150 CROSS ST.
AKRON OH
44311-1026
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-5400
  • Fax: 330-869-8263
Mailing address:
  • Phone: 330-996-9141
  • Fax: 330-376-6726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613697
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: