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CANDIS MICHELLE BOURNE
NPI 1245738152
Counselor in Canton, OH

Active since January 25, 2018
625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candis Michelle Bourne NPPES

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

CANDIS MICHELLE BOURNE (NPI 1245738152) is an individual counselor in Canton, Ohio, licensed in Ohio (C.1800817-TRNE) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1245738152
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCANDIS MICHELLE BOURNE
Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Phone(330) 455-0374
Fax(330) 455-2101
Sole ProprietorNo
Enumeration DateJanuary 25, 2018
✔ NPI 1245738152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OH · C.1800817-TRNE
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
625 CLEVELAND AVE NW, Canton, OH 44702
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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.

DOUGLAS KEVIN STEVENS CNP
Nurse Practitioner (Psychiatric/Mental Health)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
STEPHEN JAMES WALLACE LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 453-8252
TATYANNA MYRIE LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
RONNIE LYNN TURPIN CDCA-PRE
Counselor (Addiction (Substance Use Disorder))
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
ALYSSA MARIE KAROLESKI MFT
Marriage & Family Therapist
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 445-2677
CHRISTINE A POVROZNIK BA, LSW
Social Worker
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
SAMANTHA SNOW SKELLEY LPCC
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374
JASMINE SPRADLEY
Counselor
625 CLEVELAND AVE NW
CANTON, OH 44702
Stark County (330) 455-0374

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 Candis Bourne's NPI number?

The NPI number for Candis Bourne is 1245738152. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Candis Bourne located?

Candis Bourne practices at 625 Cleveland Ave NW, Canton, OH 44702. The listed phone number is (330) 455-0374.

What is Candis Bourne's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Candis Bourne was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.