Organization
GRACE GROVE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA MERLITTI LPC (OWNER, PRACTITIONER)
(330) 734-5230
Entity
Organization
Contact information
Practice address
4301 DARROW RD # 4450, STOW, OH 44224-2694
(330) 734-5230
Mailing address
4301 DARROW RD # 4450, STOW, OH 44224-2694
(330) 734-5230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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