Provider Demographics
NPI:1316714868
Name:LEYDEN, CAROLINE N (LPC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:N
Last Name:LEYDEN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:N
Other - Last Name:FOUTTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 E ERIE ST STE 304
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-3513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 E ERIE ST STE 304
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-3513
Practice Address - Country:US
Practice Address - Phone:330-256-0337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health