| Family And Individual Therapeutic Healing Llc | |
|
1145 Tall Grass Cir #202 Stow OH 44224-6936 | |
| (330) 280-0716 | |
| Not Available |
| Full Name | Family And Individual Therapeutic Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 1145 Tall Grass Cir, Stow, Ohio |
| Authorized Official Name and Position | Lisa Marie Giovannelli (OWNER) |
| Authorized Official Contact | 3302800716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Individual Therapeutic Healing Llc 3926 Clock Pointe Trl Suite 103 Stow OH 44224-6965 Ph: (330) 529-2002 | Family And Individual Therapeutic Healing Llc 1145 Tall Grass Cir #202 Stow OH 44224-6936 Ph: (330) 280-0716 |
| NPI Number | 1346780137 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346780137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 011296 (Ohio) | Secondary |
| 101Y00000X | Counselor | E0800007SUPV (Ohio) | Primary |
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