Provider Demographics
NPI:1689106569
Name:DELSIGNORE, LAURA E (IMFT-S, LPCC-S)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:DELSIGNORE
Suffix:
Gender:F
Credentials:IMFT-S, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 GRAHAM RD STE B
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1344
Mailing Address - Country:US
Mailing Address - Phone:330-510-4900
Mailing Address - Fax:330-510-5900
Practice Address - Street 1:421 GRAHAM RD STE B
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1344
Practice Address - Country:US
Practice Address - Phone:330-510-4900
Practice Address - Fax:330-519-5900
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901360-SUPV101YP2500X, 101Y00000X
OHF.2100167-SUPV106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0276824Medicaid