| Grace To Grace Behavioral Health Llc | |
|
341 Greenvale Rd South Euclid OH 44121-2308 | |
| (216) 798-6658 | |
| Not Available |
| Full Name | Grace To Grace Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 341 Greenvale Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Johnita R Mcgee Smith (THERAPIST) |
| Authorized Official Contact | 2167986658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace To Grace Behavioral Health Llc 341 Greenvale Rd South Euclid OH 44121-2308 Ph: (216) 798-6658 | Grace To Grace Behavioral Health Llc 341 Greenvale Rd South Euclid OH 44121-2308 Ph: (216) 798-6658 |
| NPI Number | 1932932886 |
|---|---|
| Provider Enumeration Date | 08/24/2024 |
| Last Update Date | 08/24/2024 |
| Certification Date | 08/24/2024 |
| Medicare PECOS PAC ID | 0446770556 |
|---|---|
| Medicare Enrollment ID | O20250219003206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932932886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Johnita Renee Mcgee Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790281160 PECOS PAC ID: 2961938972 Enrollment ID: I20250219003304 |
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