| Wildgrove Counseling | |
|
34900 Chardon Rd Bldg 1 Willoughby Hills OH 44094-9161 | |
| (440) 739-3626 | |
| Not Available |
| Full Name | Wildgrove Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 34900 Chardon Rd Bldg 1, Willoughby Hills, Ohio |
| Authorized Official Name and Position | Amber Blackston-balogh (OWNER) |
| Authorized Official Contact | 4193022575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildgrove Counseling 1531 Lyndhurst Rd Lyndhurst OH 44124-2857 Ph: () - | Wildgrove Counseling 34900 Chardon Rd Bldg 1 Willoughby Hills OH 44094-9161 Ph: (440) 739-3626 |
| NPI Number | 1992587000 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992587000 | NPI | - | NPPES |
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