Organization
NEWARK-GRANVILLE PSYCHOLOGICAL & COUNSELING SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENZIE A POVLINKO (OWNER)
(740) 587-5252
Entity
Organization
Contact information
Practice address
945 RIVER RD, GRANVILLE, OH 43023-9534
(740) 587-5252
(740) 587-2571
Mailing address
PO BOX 481, GRANVILLE, OH 43023-0481
(740) 587-5252
(740) 587-2571
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
OH
Other
Enumeration date
08/16/2006
Last updated
05/15/2024
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