Organization
HEAL GROW AND THRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAN NELSON (PRESIDENT)
(440) 248-0136
Entity
Organization
Contact information
Practice address
6200 SOM CENTER RD, SUITE D-20, SOLON, OH 44139-2944
(440) 248-0136
(440) 248-0191
Mailing address
6200 SOM CENTER RD, SUITE D-20, SOLON, OH 44139-2944
(440) 248-0136
(440) 248-0191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0007862
OH
2084P0800X
Psychiatry Physician
Primary
1631753
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0972890
—
OH
Enumeration date
05/20/2008
Last updated
05/20/2008
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