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Organization

GRACE TO HOPE COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE RENEE BASILETTI LPCC LICDC (OWNER/PROVIDER)
(330) 440-8882
Entity
Organization

Contact information

Practice address
79030 FREEPORT TIPPECANOE RD SUITE A, TIPPECANOE, OH 44699
(330) 440-8882
Mailing address
28000 MAYS SCHOOL RD, TIPPECANOE, OH 44699-9449
(133) 044-0259

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1770071623
OH
Enumeration date
01/27/2021
Last updated
05/18/2023
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