| Doctor Name: | ROMELL GRAVES |
| NPI Number: | 1134527997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC, MDFT |
| License Number: | E 1300055 |
| Business Practice Address: | 7610 Slate Ridge Blvd Reynoldsburg, OH - 430683126 |
| Business Phone Number: | 6146262696 |
| Business Fax Number: | |
| Mailing Address: | 6375 Balsam Dr, REYNOLDSBURG |
| State: | OH |
| Postal Code: | 430681919 |
| Phone Number: | 3305090957 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2014 |
| NPI Last Update Date: | 12/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E 1300055 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |