# GRACE TO HOPE COUNSELING SERVICES LLC

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

## Provider details

- **NPI number:** 1891386405
- **Authorized official:** MRS. MICHELE RENEE BASILETTI LPCC LICDC (OWNER/PROVIDER)
- **Authorized official phone:** (330) 440-8882

## Contact information

- **Practice address:** 79030 FREEPORT TIPPECANOE RD SUITE A, TIPPECANOE, OH 44699
- **Practice address phone:** (330) 440-8882
- **Mailing address:** 28000 MAYS SCHOOL RD, TIPPECANOE, OH 44699-9449
- **Mailing address phone:** (133) 044-0259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 05/18/2023