Individual ProviderAshly GrantSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819(216) 235-9373PECOS EnrollmentBased on the most recent information from CMS, provider Ashly Grant does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1407232069Provider TypeIndividualFull NameGrant, AshlyGenderFemaleSole ProprietorYesEnumeration Date8/6/2015Last Updated8/17/2022Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 235-9373FaxUnlisted FaxMailing LocationMailing Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 235-9373FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS. 1201001OhioCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense100717Ohio