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Organization

AMAZING GRACE COUNSELING AND ADDICTION SERVICES LLC

Active
Other names
Amazing Grace Counseling And Addiction Services
Organization subpart
No

Provider details

NPI number
Authorized official
DEONDRA MILLS (CEO)
(513) 884-0917
Entity
Organization

Contact information

Practice address
5670 WINNESTE AVE, CINCINNATI, OH 45232-1270
(513) 884-0917
(513) 880-0519
Mailing address
5670 WINNESTE AVE, CINCINNATI, OH 45232-1270
(513) 884-0917

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility

Other

Enumeration date
01/16/2025
Last updated
01/16/2025
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