| Shaped by Grace | |
|
5100 Fairground Rd Celina OH 45822-9775 | |
| (567) 644-2028 | |
| Not Available |
| Full Name | Shaped by Grace |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5100 Fairground Rd, Celina, Ohio |
| Authorized Official Name and Position | Tiffany Fishbaugh (CEO/THERAPIST) |
| Authorized Official Contact | 5676442028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaped by Grace 7095 Emerson Rd Celina OH 45822-2946 Ph: (567) 644-2028 | Shaped by Grace 5100 Fairground Rd Celina OH 45822-9775 Ph: (567) 644-2028 |
| NPI Number | 1336007475 |
|---|---|
| Provider Enumeration Date | 01/15/2026 |
| Last Update Date | 08/20/2026 |
| Certification Date | 08/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336007475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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