Provider Demographics
NPI:1952571093
Name:SOLE, NATHAN RAY (LPCC-S)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:RAY
Last Name:SOLE
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-2336
Mailing Address - Country:US
Mailing Address - Phone:330-937-2661
Mailing Address - Fax:
Practice Address - Street 1:230 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-2336
Practice Address - Country:US
Practice Address - Phone:330-937-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1200171101Y00000X
OHE.1200171-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor