Emerald Pine, Grief & Trauma Services, Llc | |
4111 Bradley Cir Nw Ste 150 Canton OH 44718-2563 | |
(330) 546-0199 | |
Not Available |
Full Name | Emerald Pine, Grief & Trauma Services, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 4111 Bradley Cir Nw Ste 150, Canton, Ohio |
Authorized Official Name and Position | Amy Hallett (OWNER) |
Authorized Official Contact | 3305460199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Emerald Pine, Grief & Trauma Services, Llc 4111 Bradley Cir Nw Ste 150 Canton OH 44718-2563 Ph: () - | Emerald Pine, Grief & Trauma Services, Llc 4111 Bradley Cir Nw Ste 150 Canton OH 44718-2563 Ph: (330) 546-0199 |
NPI Number | 1154036564 |
---|---|
Provider Enumeration Date | 01/19/2023 |
Last Update Date | 01/19/2023 |
Certification Date | 01/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154036564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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