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Organization

FAMILY AND INDIVIDUAL THERAPEUTIC HEALING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA MARIE GIOVANNELLI PHD (OWNER)
(330) 280-0716
Entity
Organization

Contact information

Practice address
1145 TALL GRASS CIR, #202, STOW, OH 44224-6936
(330) 280-0716
Mailing address
3926 CLOCK POINTE TRL, SUITE 103, STOW, OH 44224-6965
(330) 529-2002
(330) 529-2002

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0800007SUPV
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
011296
OH

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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