Provider Demographics
NPI:1164923637
Name:GEBOLYS, NATALIJA (LPCC, IMFT)
Entity Type:Individual
Prefix:
First Name:NATALIJA
Middle Name:
Last Name:GEBOLYS
Suffix:
Gender:F
Credentials:LPCC, IMFT
Other - Prefix:
Other - First Name:NATALIJA
Other - Middle Name:
Other - Last Name:SIMOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22255 CENTER RIDGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116-3950
Mailing Address - Country:US
Mailing Address - Phone:216-563-1661
Mailing Address - Fax:
Practice Address - Street 1:22255 CENTER RIDGE RD STE 200
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3950
Practice Address - Country:US
Practice Address - Phone:216-563-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1700802101YP2500X
OHE.1901559101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional