| Wellness Grove, Llc | |
|
4522 Fulton Dr Nw Canton OH 44718-2332 | |
| (330) 915-2907 | |
| (330) 915-2958 |
| Full Name | Wellness Grove, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4522 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Shaun Swiger (CHIEF INFORMATION OFFICER) |
| Authorized Official Contact | 3309152907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Grove, Llc 4522 Fulton Dr Nw Canton OH 44718-2332 Ph: (330) 915-2907 | Wellness Grove, Llc 4522 Fulton Dr Nw Canton OH 44718-2332 Ph: (330) 915-2907 |
| NPI Number | 1043899859 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 10/26/2024 |
| Certification Date | 10/26/2024 |
| Medicare PECOS PAC ID | 5092104109 |
|---|---|
| Medicare Enrollment ID | O20211111000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043899859 | NPI | - | NPPES |
| 0444569 | Medicaid | OH |
| Provider Name | Jessica B Horvat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447363064 PECOS PAC ID: 9234268277 Enrollment ID: I20100601000000 |
| Provider Name | Rachel Stile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245726678 PECOS PAC ID: 5092042531 Enrollment ID: I20190807001041 |
| Provider Name | Maria E Hardgrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750871513 PECOS PAC ID: 7719393644 Enrollment ID: I20210301002026 |
| Provider Name | Matthew Reese Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801387915 PECOS PAC ID: 2668825779 Enrollment ID: I20240125000414 |
| Provider Name | Rachel Gombash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821594227 PECOS PAC ID: 2365895364 Enrollment ID: I20240125003595 |
| Provider Name | Paige Wallace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376157115 PECOS PAC ID: 9931552973 Enrollment ID: I20240126000238 |
| Provider Name | Andrew Brent Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306184163 PECOS PAC ID: 4789037748 Enrollment ID: I20240126000854 |
| Provider Name | Kellie E King Feciuch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609148824 PECOS PAC ID: 6305299298 Enrollment ID: I20240126002570 |
| Provider Name | Jessica Ann Headley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316450562 PECOS PAC ID: 8325437437 Enrollment ID: I20240126003013 |
| Provider Name | Madeline G Skemp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427509900 PECOS PAC ID: 2466805395 Enrollment ID: I20240126004019 |
| Provider Name | Caitlin Mcdougle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942703673 PECOS PAC ID: 8628421559 Enrollment ID: I20240126004083 |
| Provider Name | Cynthia M Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518588979 PECOS PAC ID: 2163875014 Enrollment ID: I20240127000366 |
| Provider Name | Jamie Sevenbergen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346733458 PECOS PAC ID: 8426401373 Enrollment ID: I20240127000394 |
| Provider Name | Cianna A Dorando |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194347328 PECOS PAC ID: 4688027535 Enrollment ID: I20240127000482 |
| Provider Name | Benjamin Nathaniel Mickey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427544626 PECOS PAC ID: 6305299256 Enrollment ID: I20240127000507 |
| Provider Name | Thomas Joseph Deiotte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801386263 PECOS PAC ID: 2567815129 Enrollment ID: I20240130003163 |
| Provider Name | Brittany Jenyse Franklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053823633 PECOS PAC ID: 3870946452 Enrollment ID: I20240131000382 |
| Provider Name | Joseph Kury |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700444676 PECOS PAC ID: 5294188793 Enrollment ID: I20240131004565 |
| Provider Name | Christy Ann Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134716202 PECOS PAC ID: 1456704964 Enrollment ID: I20240131005031 |
| Provider Name | Shannon M. Woodard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639539059 PECOS PAC ID: 2163867029 Enrollment ID: I20240301000164 |
| Provider Name | Pamela Ann Ebert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467711580 PECOS PAC ID: 0547688616 Enrollment ID: I20240306002228 |
| Provider Name | Olivia Weinzatl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932752938 PECOS PAC ID: 0244677755 Enrollment ID: I20240320000699 |
| Provider Name | Rebecca I Chajkowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164915039 PECOS PAC ID: 1456798339 Enrollment ID: I20240327002772 |
Lenzy Family Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1930 Fulton Rd Nw Ste 103, Canton, OH 44709 Phone: 330-956-5936 | |
Psychological & Educational Solutions, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1829 Fulton Rd Nw, Canton, OH 44709 Phone: 330-456-1899 Fax: 330-456-4191 | |
Pathway Caring For Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4895 Dressler Rd Nw, Canton, OH 44718 Phone: 330-493-0083 | |
Living Tree Recovery Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2705 Cleveland Ave Nw, Canton, OH 44709 Phone: 234-360-3005 Fax: 234-425-5629 | |
Shapuite Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1113 Rockwood Ave Sw, Canton, OH 44710 Phone: 330-806-0566 | |
Crisis Intervention And Recovery Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Mckinley Ave Nw, Canton, OH 44703 Phone: 330-452-9812 Fax: 330-430-1288 | |
Ne Family Care Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 W Maple St Ste 103, Canton, OH 44720 Phone: 330-966-8677 |