Healthcare Provider Details

I. General information

NPI: 1770409187
Provider Name (Legal Business Name): LAUREN WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9867 AKRON RD
RITTMAN OH
44270-9708
US

IV. Provider business mailing address

9867 AKRON RD
RITTMAN OH
44270-9708
US

V. Phone/Fax

Practice location:
  • Phone: 330-355-9729
  • Fax:
Mailing address:
  • Phone: 330-355-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number195488
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: