Wildgrove Counseling
NPI #1992587000 in Willoughby Hills, Ohio
Provider Information
- NPI Number
- 1992587000
- Entity Type
- Organization
- Organization Name
- Wildgrove Counseling
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 16, 2023
- Last Updated
- Oct 16, 2023
Practice Location
- Address
- 34900 CHARDON RD BLDG 1
- City
- Willoughby Hills
- State
- Ohio
- ZIP Code
- 44094-9161
- Phone
- (440) 739-3626
Authorized Official
- Name
- AMBER BLACKSTON-BALOGH, LISW-S
- Title
- OWNER
- Phone
- (419) 302-2575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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