Emerald Pine, Grief & Trauma Services, LLC

NPI #1154036564 in Canton, Ohio

Provider Information

NPI Number: 1154036564
Entity Type: Organization
Organization Name: Emerald Pine, Grief & Trauma Services, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 19, 2023
Last Updated: Jan 19, 2023

Practice Location

Address: 4111 BRADLEY CIR NW STE 150
City: Canton
State: Ohio
ZIP Code: 44718-2563
Phone: (330) 546-0199

Authorized Official

Name: AMY HALLETT, LICSW
Title: OWNER
Phone: (330) 546-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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