WELLNESS GROVE LLC - NPI 1124865654 - Clinic/Center in Canton, OH

Q: What is Wellness Grove LLC's NPI number?

The NPI number for Wellness Grove LLC is 1124865654. It was assigned to this organization in the NPPES registry on July 11, 2024. The provider is doing business as Wellness Grove.

Q: What is Wellness Grove LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

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About Wellness Grove Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS GROVE LLC (NPI 1124865654), doing business as Wellness Grove, is a healthcare organization registered as a mental health (including community mental health center) in Canton, Ohio and active in the NPI registry since July 2024. The organization maintains 2 additional practice locations and lists Shaun Swiger, Chief Information Officer, as its authorized official.

NPPES Registry Identity

NPI1124865654

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWELLNESS GROVE LLC

Location Address4522 FULTON DR NWCanton, OH 44718-2332

Mailing Address4522 Fulton Dr NwCanton, OH 44718-2332 · (330) 915-2907

Phone(330) 915-2907

Fax(330) 915-2958

Organization SubpartNo

Authorized OfficialShaun SwigerChief Information Officer · (330) 915-2907

Enumeration DateJuly 11, 2024

Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1124865654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedArt TherapistTaxonomy 221700000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4522 FULTON DR NW, Canton, OH 44718

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Other Names 1

Doing Business AsWellness Grove

Secondary Practice Locations 2

Location 15611 Hudson Dr Ste 400Hudson, OH 44236-4452 · Phone (330) 915-2907 · Fax (330) 915-2958

Location 24200 Munson St NW Ste ACanton, OH 44718-2981 · Phone (330) 915-2907 · Fax (330) 915-2958

Other Identifiers 1

Medicaid0085951OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE KIRKHOLDER

Counselor (Mental Health)