| Green Fisher Farm Llc | |
|
9001 Kinsman Rd Novelty OH 44072-9638 | |
| (440) 623-3124 | |
| Not Available |
| Full Name | Green Fisher Farm Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9001 Kinsman Rd, Novelty, Ohio |
| Authorized Official Name and Position | Toni Lima (CEO) |
| Authorized Official Contact | 4406233124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Fisher Farm Llc 9001 Kinsman Rd Novelty OH 44072-9638 Ph: (440) 623-3124 | Green Fisher Farm Llc 9001 Kinsman Rd Novelty OH 44072-9638 Ph: (440) 623-3124 |
| NPI Number | 1104614023 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104614023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |