Provider Demographics
NPI:1871021576
Name:COMBS, CAROL LYNN (LPCC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNN
Last Name:COMBS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6209 STORER AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-5522
Mailing Address - Country:US
Mailing Address - Phone:216-651-1450
Mailing Address - Fax:216-651-4351
Practice Address - Street 1:6209 STORER AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44102-5522
Practice Address - Country:US
Practice Address - Phone:216-651-1450
Practice Address - Fax:216-651-4351
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0004036101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)