Healthcare Provider Details

I. General information

NPI: 1508723495
Provider Name (Legal Business Name): TATUM JAMES SCHAFFTER LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CLEVELAND AVE NW
CANTON OH
44702-1836
US

IV. Provider business mailing address

625 CLEVELAND AVE NW
CANTON OH
44702-1805
US

V. Phone/Fax

Practice location:
  • Phone: 330-453-8252
  • Fax: 330-455-4655
Mailing address:
  • Phone: 330-455-0374
  • Fax: 330-453-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2608595
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: