Organization
I'M YOUR THERAPIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ORNS-GRANT LISW (OWNER)
(269) 339-8531
Entity
Organization
Contact information
Practice address
1715 INDIAN WOOD CIRCLE, STE 200, MAUMEE, OH 43537
(269) 339-8531
Mailing address
1715 INDIAN WOOD CIR STE 200, MAUMEE, OH 43537-4055
(269) 339-8531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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