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LAKEESHA M WISE
NPI 1407335011
Counselor - Addiction (Substance Use Disorder) in Canton, OH

Active since August 14, 2018
1930 FULTON RD NW STE 103, CANTON, OH 44709(330) 956-5936(330) 956-5623 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeesha M Wise NPPES

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

LAKEESHA M WISE (NPI 1407335011) is an individual addiction (substance use disorder) provider in Canton, Ohio, licensed in Ohio (CDCA.164627) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1407335011
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLAKEESHA M WISE
Location Address1930 FULTON RD NW STE 103Canton, OH 44709-3526
Mailing Address1930 Fulton Rd Nw Ste 103Canton, OH 44709-3526 · (330) 956-5936 · Fax (330) 956-5623
Phone(330) 956-5936
Fax(330) 956-5623
Sole ProprietorNo
Enumeration DateAugust 14, 2018
✔ NPI 1407335011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.164627
1930 FULTON RD NW STE 103, Canton, OH 44709
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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.

LENZY FAMILY INSTITUTE
Clinic/Center (Mental Health (Including Community Mental Health Center))
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
EMMA L SINGLETON BSW
Case Manager/Care Coordinator
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
RONNIE L OWENS JR.
Counselor (Addiction (Substance Use Disorder))
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
STEPHANIE E PRICE
Case Manager/Care Coordinator
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
APRIL A HENDERSON
Case Manager/Care Coordinator
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
LESLI JANELLE CLOYD LPN
Licensed Practical Nurse
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
MR. CHARLES HAZLY CDCA
Counselor (Addiction (Substance Use Disorder))
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936
MICHELLE R ALLISON
Social Worker
1930 FULTON RD NW STE 103
CANTON, OH 44709
Stark County (330) 956-5936

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 Lakeesha Wise's NPI number?

The NPI number for Lakeesha Wise is 1407335011. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Lakeesha Wise located?

Lakeesha Wise practices at 1930 Fulton Rd NW Ste 103, Canton, OH 44709. The listed phone number is (330) 956-5936.

What is Lakeesha Wise's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lakeesha Wise was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.