Grace Shade, LPCC

Counselor · Bowling Green, OH

Individual Active NPI

NPI number 1407369978

Practice location

1234 Ridgewood Dr Ste C
Bowling Green, OH 43402-2695
Phone
(419) 408-5533

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NPI record

NPI
1407369978
Entity type
Individual (Type 1)
Enumeration date
November 7, 2017
Last updated
July 17, 2023
Certified
July 17, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X E.1901560 OH
Counselor 101Y00000X C.1700642 OH

Other practice locations (1)

  • 9033 Dold Dr, Findlay, OH 45840-1671 · (419) 890-6875

About Grace Shade

Grace Shade, LPCC is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1234 Ridgewood Dr Ste C, Bowling Green, OH 43402-2695. The NPI number 1407369978 was assigned on November 7, 2017 and the record was last updated on July 17, 2023.

Grace Shade lists 2 licenses in the registry: #E.1901560 (OH) for Counselor; #C.1700642 (OH) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Shade, LPCC?

The NPI number is 1407369978.

What is the phone number of Grace Shade?

The phone number listed for the practice location is (419) 408-5533.

Where is Grace Shade located?

1234 Ridgewood Dr Ste C, Bowling Green, OH 43402-2695.

What is the taxonomy code for Grace Shade?

The primary taxonomy code is 101Y00000X – Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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