Green Fisher Farm Llc | |
9001 Kinsman Rd Novelty OH 44072-9638 | |
(440) 623-3124 | |
Not Available |
Full Name | Green Fisher Farm Llc |
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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 |
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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 |
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Provider Enumeration Date | 04/29/2025 |
Last Update Date | 04/29/2025 |
Certification Date | 04/29/2025 |
Identifier | Type | State | Issuer |
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1104614023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |