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LAURISSA SUMMERLIN CDCA
NPI 1144865627
Substance Abuse Rehabilitation Facility in Warren, OH

Active since November 08, 2019
4930 ENTERPRISE DR NW, WARREN, OH 44481(330) 787-0955 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurissa Summerlin Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURISSA SUMMERLIN CDCA (NPI 1144865627) is an individual substance abuse rehabilitation facility provider in Warren, Ohio, licensed in Ohio (171941) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1144865627
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameLAURISSA SUMMERLINCredential: CDCA
Location Address4930 ENTERPRISE DR NWWarren, OH 44481-8706
Mailing Address4930 Enterprise Dr NwWarren, OH 44481-8706 · (330) 787-0955
Phone(330) 787-0955
Sole ProprietorYes
Enumeration DateNovember 8, 2019
✔ NPI 1144865627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in OH · 171941
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
4930 ENTERPRISE DR NW, Warren, OH 44481
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL GRIFFIN LPN
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
CHARITEY RIGGS CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
ANNA LYNCH CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
JEANNETTE SINGLETON LICDC
Social Worker
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DANA PUGH
Licensed Practical Nurse
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DALTON KINDER CDCA
Substance Abuse Rehabilitation Facility
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 787-0955
TASHI JOHNSON
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022
DANIEL JAYSON LYDIC
Counselor (Addiction (Substance Use Disorder))
4930 ENTERPRISE DR NW
WARREN, OH 44481
Trumbull County (330) 369-8022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurissa Summerlin's NPI number?

The NPI number for Laurissa Summerlin is 1144865627. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Laurissa Summerlin located?

Laurissa Summerlin practices at 4930 Enterprise Dr NW, Warren, OH 44481. The listed phone number is (330) 787-0955.

What is Laurissa Summerlin's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Laurissa Summerlin was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.