| Grace Grove Healing Llc | |
|
4301 Darrow Rd # 4450 Stow OH 44224-2694 | |
| (330) 734-5230 | |
| Not Available |
| Full Name | Grace Grove Healing Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4301 Darrow Rd # 4450, Stow, Ohio |
| Authorized Official Name and Position | Tonya Merlitti (OWNER, PRACTITIONER) |
| Authorized Official Contact | 3307345230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Grove Healing Llc 4301 Darrow Rd # 4450 Stow OH 44224-2694 Ph: (330) 734-5230 | Grace Grove Healing Llc 4301 Darrow Rd # 4450 Stow OH 44224-2694 Ph: (330) 734-5230 |
| NPI Number | 1558189019 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558189019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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