Healthcare Provider Details

I. General information

NPI: 1841102829
Provider Name (Legal Business Name): MADISON BRIANNE SWANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4942 HIGBEE AVE NW STE C&D
CANTON OH
44718-2554
US

IV. Provider business mailing address

1465 KILLIAN RD
AKRON OH
44312-4735
US

V. Phone/Fax

Practice location:
  • Phone: 800-244-4691
  • Fax:
Mailing address:
  • Phone: 330-715-5657
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: