Healthcare Provider Details

I. General information

NPI: 1548034085
Provider Name (Legal Business Name): AXESS FAMILY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 GOUGLER AVE
KENT OH
44240-2401
US

IV. Provider business mailing address

PO BOX 933132
CLEVELAND OH
44193-0001
US

V. Phone/Fax

Practice location:
  • Phone: 888-975-9188
  • Fax: 330-564-9986
Mailing address:
  • Phone: 800-288-2818
  • Fax: 330-668-2116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE STATES
Title or Position: DIRECTOR OPERATIONS AND COMPLIANCE
Credential:
Phone: 800-288-2818