Provider Demographics
NPI:1750822482
Name:PARTNERS FOR WELLNESS
Entity Type:Organization
Organization Name:PARTNERS FOR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GRISDALE
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:216-289-1656
Mailing Address - Street 1:6500 PEARL RD
Mailing Address - Street 2:SUITE 299
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3813
Mailing Address - Country:US
Mailing Address - Phone:440-345-5300
Mailing Address - Fax:440-882-3048
Practice Address - Street 1:6500 PEARL RD
Practice Address - Street 2:SUITE 299
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3813
Practice Address - Country:US
Practice Address - Phone:440-345-5300
Practice Address - Fax:440-882-3048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI79631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty