Healthcare Provider Details

I. General information

NPI: 1922940832
Provider Name (Legal Business Name): PRIMEWELL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2181 WADSWORTH RD STE 101
NORTON OH
44203-5352
US

IV. Provider business mailing address

2181 WADSWORTH RD STE 101
NORTON OH
44203-5352
US

V. Phone/Fax

Practice location:
  • Phone: 678-480-0630
  • Fax:
Mailing address:
  • Phone: 678-480-0630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: KEVIN STRONG
Title or Position: PRESIDENT/CEO
Credential:
Phone: 678-480-0630