Provider Demographics
NPI:1225908627
Name:THE DEVON TORRENCE FOUNDATION
Entity type:Organization
Organization Name:THE DEVON TORRENCE FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:MONTRELL
Authorized Official - Last Name:TORRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-704-1391
Mailing Address - Street 1:824 LAWRENCE RD NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44704-1346
Mailing Address - Country:US
Mailing Address - Phone:330-704-1391
Mailing Address - Fax:330-704-1391
Practice Address - Street 1:824 LAWRENCE RD NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44704-1346
Practice Address - Country:US
Practice Address - Phone:330-704-1391
Practice Address - Fax:330-704-1391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty