Healthcare Provider Details

I. General information

NPI: 1699442442
Provider Name (Legal Business Name): ADAIAH L WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

524 W PARK AVE STE 1
BARBERTON OH
44203-2587
US

IV. Provider business mailing address

1317 VIENNA RD SW
CANTON OH
44706-5640
US

V. Phone/Fax

Practice location:
  • Phone: 330-753-1096
  • Fax:
Mailing address:
  • Phone: 330-880-6414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404737
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: