Provider Demographics
NPI:1952571093
Name:SOLE, NATHAN RAY
Entity Type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:RAY
Last Name:SOLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-4747
Mailing Address - Fax:330-543-3942
Practice Address - Street 1:388 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-1064
Practice Address - Country:US
Practice Address - Phone:330-543-4747
Practice Address - Fax:330-543-3942
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1200171101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor