| 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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