DOMINIQUE LASHA WAITERS NPI 1053038257

NPI Information

NPI: 1053038257
Provider Name: DOMINIQUE LASHA WAITERS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
225 CLARENDON AVE NW
CANTON, OH
ZIP 44708
Phone: (234) 207-6121
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Dominique Lasha Waiters is a mental health counselor in Canton, OH. Dominique Lasha Waiters NPI is 1053038257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

225 CLARENDON AVE NW
CANTON, OH
ZIP 44708-624
Phone: (234) 207-6121

The enumeration date for this NPI number is 10/27/2022 and was last updated on 10/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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