Organization
GROWING WELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D SIMPSON LPCC-S (OWNER)
(440) 789-9081
Entity
Organization
Contact information
Practice address
223 1/2 SANDUSKY ST, CONNEAUT, OH 44030-2525
(440) 606-6334
Mailing address
292 N AMBOY RD, CONNEAUT, OH 44030-3097
(440) 789-9081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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