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Organization
MIDWEST MENTAL HEALTH LLC
Active
Organization
MIDWEST MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNSON (MEMBER)
(740) 804-1526
Entity
Organization
Contact information
Practice address
4086 BROADWAY, GROVE CITY, OH 43123-3025
(740) 804-1526
Mailing address
4086 BROADWAY, GROVE CITY, OH 43123-3025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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