Provider Demographics
NPI:1467531673
Name:GRABOWSKI, COLLEEN LYNETTE (MA, MFCS, PCC-S)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:LYNETTE
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:MA, MFCS, PCC-S
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:LYNETTE
Other - Last Name:CORMANY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFCS, PCC-S
Mailing Address - Street 1:3500 CARNEGIE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2641
Mailing Address - Country:US
Mailing Address - Phone:440-260-8581
Mailing Address - Fax:440-260-8576
Practice Address - Street 1:3500 CARNEGIE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2641
Practice Address - Country:US
Practice Address - Phone:440-260-8581
Practice Address - Fax:440-260-8576
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH001398101YA0400X
OHE-0003471-SUPV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)