MEDICARE: ADAIAH L WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	E.2404737	OH

General Provider Information

NPI Number	:	1699442442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAIAH L WRIGHT

Provider Business Mailing Address
First Line	:	1317 VIENNA RD SW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44706-5640
Country	:	US
Telephone Number	:	330-880-6414
Fax Number	:

Provider Business Practice Location Address
First Line	:	524 W PARK AVE STE 1
Second Line	:
City	:	BARBERTON
State	:	OH
Zip	:	44203-2587
Country	:	US
Telephone Number	:	330-753-1096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2021
Last Update Date	:	12/11/2025

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Directions to “ ADAIAH L WRIGHT ” Practice Location

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