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Organization
FAMILY AND INDIVIDUAL THERAPEUTIC HEALING LLC
Active
Organization
FAMILY AND INDIVIDUAL THERAPEUTIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE GIOVANNELLI PHD (OWNER)
(330) 280-0716
Entity
Organization
Contact information
Practice address
1145 TALL GRASS CIR, #202, STOW, OH 44224-6936
(330) 280-0716
Mailing address
3926 CLOCK POINTE TRL, SUITE 103, STOW, OH 44224-6965
(330) 529-2002
(330) 529-2002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0800007SUPV
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
011296
OH
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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