Active NPI
Grace Grove Healing LLC
- Mental Health Counselor
- Stow, OH
National Provider Identifier
1558189019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GRACE GROVE HEALING LLC
- Practice address
- 4301 Darrow Rd # 4450
Stow, OH 44224-2694 - Phone
- (330) 734-5230
- NPI assigned
- Oct 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Merlitti, LPC
- Title
- Owner, Practitioner
- Phone
- (330) 734-5230
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
4301 Darrow Rd # 4450
Stow, OH 44224-2694
Mailing address
4301 Darrow Rd # 4450
Stow, OH 44224-2694
Phone (330) 734-5230
National Provider Directory
National Provider DirectoryLocations
4301 Darrow Rd
#4450
Stow, OH 44224
Phone (330) 734-5230
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Stow, OH
- NPI 1992459259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727827200000",
"number": "1558189019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 DARROW RD # 4450",
"city": "STOW",
"state": "OH",
"postal_code": "442242694",
"telephone_number": "330-734-5230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 DARROW RD # 4450",
"city": "STOW",
"state": "OH",
"postal_code": "442242694",
"telephone_number": "330-734-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE GROVE HEALING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A",
"authorized_official_last_name": "MERLITTI",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "OWNER, PRACTITIONER",
"authorized_official_telephone_number": "330-734-5230",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.