Shade, Grace
Shade, Grace is an sole proprietor health care provider with primary practice located at 1234 Ridgewood Dr Ste C , Bowling Green OH 43402-2695. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Shade, Grace can be contacted via phone (419) 408-5533.Contact Information
Primary practice address
1234 Ridgewood Dr Ste C
Bowling Green OH 43402-2695
Phone: (419) 408-5533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C.1700642 | Ohio |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | E.1901560 | Ohio |
Profile Details
| NPI number | 1407369978 |
|---|---|
| LBN Legal business name | Shade, Grace |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2017 |
| Last updated | Jul 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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