Healthcare Provider Details

I. General information

NPI: 1174432926
Provider Name (Legal Business Name): PREFLOGROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 CLARENDON AVE NW
CANTON OH
44708-4302
US

IV. Provider business mailing address

716 CLARENDON AVE NW
CANTON OH
44708-4302
US

V. Phone/Fax

Practice location:
  • Phone: 330-265-1844
  • Fax:
Mailing address:
  • Phone: 330-265-1844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: PRECIOUS IHUNDA
Title or Position: CEO
Credential:
Phone: 330-265-1844