Organization
GRILLIOT COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH GRILLIOT (OWNER)
(937) 540-0871
Entity
Organization
Contact information
Practice address
310 UNION BLVD, ENGLEWOOD, OH 45322-2115
(937) 540-1871
Mailing address
309 SHADY TREE CT, ENGLEWOOD, OH 45315-9652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221476
—
OH
Enumeration date
03/04/2019
Last updated
03/04/2019
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