# GRACE GROVE HEALING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558189019
- **Authorized official:** TONYA MERLITTI LPC (OWNER, PRACTITIONER)
- **Authorized official phone:** (330) 734-5230

## Contact information

- **Practice address:** 4301 DARROW RD \# 4450, STOW, OH 44224-2694
- **Practice address phone:** (330) 734-5230
- **Mailing address:** 4301 DARROW RD \# 4450, STOW, OH 44224-2694
- **Mailing address phone:** (330) 734-5230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024