Family and Individual Therapeutic Healing LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E0800007SUPV Issued in OH

Legal business name

FAMILY AND INDIVIDUAL THERAPEUTIC HEALING LLC

Practice address

1145 Tall Grass Cir
#202
Stow, OH 44224-6936

Phone

(330) 280-0716

NPI assigned

Feb 28, 2017

Last updated

Feb 28, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa Marie Giovannelli, PHDNPI 1174742837

Title

Owner

Phone

(330) 280-0716

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Marie Giovannelli, PHD, PCC-S, LICDC

  • Professional Counselor
  • Stow, OH
  • NPI 1174742837

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1346780137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3926 CLOCK POINTE TRL",
            "address_2": "SUITE 103",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246965",
            "telephone_number": "330-529-2002",
            "fax_number": "330-529-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 TALL GRASS CIR",
            "address_2": "#202",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442246936",
            "telephone_number": "330-280-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND INDIVIDUAL THERAPEUTIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "GIOVANNELLI",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-280-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0800007SUPV",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "011296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon Ezzo
• Colleen E Fairhurst, PA-C
• Family Physicians of Stow Inc
• Stefanie Ann Farkas, BCBA
• Tracey L Febres, PT, DPT
• Tara C. Ferguson, CNP
• Shani L Ferry, MA, CCC-SLP

• Counselor in Stow, OH
• Providers in Stow, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.