Healthcare Provider Details

I. General information

NPI: 1740107143
Provider Name (Legal Business Name): JAYLIN MCCANTS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13680 CLEVELAND AVE NW
UNIONTOWN OH
44685-8098
US

IV. Provider business mailing address

106 E LODS ST
AKRON OH
44304-1108
US

V. Phone/Fax

Practice location:
  • Phone: 888-839-2606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCAPRE.195969
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: