Healthcare Provider Details

I. General information

NPI: 1598550378
Provider Name (Legal Business Name): LAUREN KALEEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2025
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date: 02/05/2026
Reactivation Date: 02/19/2026

III. Provider practice location address

196 COLONIAL DR
YOUNGSTOWN OH
44505-2139
US

IV. Provider business mailing address

7858 HUNTINGTON CIR
BOARDMAN OH
44512-8121
US

V. Phone/Fax

Practice location:
  • Phone: 234-232-7500
  • Fax:
Mailing address:
  • Phone: 330-398-3031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0041306
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number371796
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: