Healthcare Provider Details

I. General information

NPI: 1699255257
Provider Name (Legal Business Name): LAUREN COLLINS-KNIGHT LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 NORTHWEST AVE BLDG A
TALLMADGE OH
44278-1806
US

IV. Provider business mailing address

143 NORTHWEST AVE BLDG A
TALLMADGE OH
44278-1806
US

V. Phone/Fax

Practice location:
  • Phone: 330-606-9262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2607443
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: