Organization
HEART CENTERED HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE RUSSELL LISW-S, LICDC-CS (OWNER)
(330) 840-9385
Entity
Organization
Contact information
Practice address
217 W HOMESTEAD ST, MEDINA, OH 44256-3129
(330) 840-9385
(330) 595-4392
Mailing address
217 W HOMESTEAD ST, MEDINA, OH 44256-3129
(330) 840-9385
(330) 595-4392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
09/22/2025
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