Provider Demographics
NPI:1194376715
Name:AJAMIE, DAVID
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:AJAMIE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:526 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-2554
Mailing Address - Country:US
Mailing Address - Phone:330-625-4711
Mailing Address - Fax:
Practice Address - Street 1:526 CANTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-2554
Practice Address - Country:US
Practice Address - Phone:330-625-4711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
OH000919175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000919OtherOHIO MENTAL HEALTH AND ADDICTION SERVICES (OMHAS)