WELLNESS GROVE LLC NPI 1043899859

NPI Information

  • NPI: 1043899859
  • Provider Name: WELLNESS GROVE, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4522 FULTON DR NW
    CANTON, OH
    ZIP 44718
  • Phone: (330) 915-2907

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NPI Details

WELLNESS GROVE, LLC is a mental health counselor in Canton, OH. WELLNESS GROVE, LLC NPI is 1043899859. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4522 FULTON DR NW
CANTON, OH
ZIP 44718-332
Phone: (330) 915-2907
Fax: (330) 915-2958

The provider's authorized official is Shaun Swiger .
The authorized official title is Chief Information Officer and has the following contact phone number (330) 915-2907.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 10/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthYes
3101YP2500XCounselorProfessionalNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6106H00000XMarriage & Family TherapistNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10444569MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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