Healthcare Provider Details

I. General information

NPI: 1801542758
Provider Name (Legal Business Name): TAKISHA WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27801 EUCLID AVE
EUCLID OH
44132-3549
US

IV. Provider business mailing address

150 CROSS ST
AKRON OH
44311-1026
US

V. Phone/Fax

Practice location:
  • Phone: 216-337-1411
  • Fax:
Mailing address:
  • Phone: 330-996-9141
  • Fax: 330-564-9296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC2406622
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: