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Organization
GRACE TO HOPE COUNSELING SERVICES LLC
Active
Organization
GRACE TO HOPE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE RENEE BASILETTI LPCC LICDC (OWNER/PROVIDER)
(330) 440-8882
Entity
Organization
Contact information
Practice address
79030 FREEPORT TIPPECANOE RD SUITE A, TIPPECANOE, OH 44699
(330) 440-8882
Mailing address
28000 MAYS SCHOOL RD, TIPPECANOE, OH 44699-9449
(133) 044-0259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
05/18/2023
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