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Organization
THERAVAULT, LLC
Active
Organization
THERAVAULT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SMITKE LISW-S, LICDC (CO-OWNER)
(888) 875-8712
Entity
Organization
Contact information
Practice address
185 S LIBERTY ST, POWELL, OH 43065-7619
(888) 875-8712
Mailing address
7736 BIRCHMONT DR, CHAGRIN FALLS, OH 44022-3970
(888) 875-8712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
08/17/2022
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