Organization
AMAZING GRACE MENTAL WELLNESS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRE OPOKU APRN-CNP, PMHNP-BC (OWNER/PSYCHIATRIC NP)
(614) 710-0173
Entity
Organization
Contact information
Practice address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 710-0173
(614) 987-4032
Mailing address
7664 SLATE RIDGE BLVD, REYNOLDSBURG, OH 43068-8158
(614) 710-0173
(614) 987-4032
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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