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NPI Code Detail

MEDICARE: MENWA HOPE GENTLE IMFT

MEDICARE:   MENWA HOPE GENTLE  IMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistF.2500551OH

General Provider Information

NPI Number : 1497477392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MENWA HOPE GENTLE IMFT
Provider Business Mailing Address
First Line : 10937 E GYPSY LANE RD
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-9565
Country : US
Telephone Number : 216-932-2800
Fax Number :
Provider Business Practice Location Address
First Line : 10937 E GYPSY LANE RD
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-9565
Country : US
Telephone Number : 216-932-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2022
Last Update Date : 12/09/2025

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Directions to “ MENWA HOPE GENTLE IMFT” Practice Location

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