Provider Demographics
NPI:1356692313
Name:GABRIEL GROUP COUNSELING, LLC
Entity type:Organization
Organization Name:GABRIEL GROUP COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ORNOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PCC-S
Authorized Official - Phone:440-897-5142
Mailing Address - Street 1:16600 W SPRAGUE RD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-6318
Mailing Address - Country:US
Mailing Address - Phone:440-523-0370
Mailing Address - Fax:440-524-5670
Practice Address - Street 1:16600 W SPRAGUE RD
Practice Address - Street 2:SUITE 245
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-6318
Practice Address - Country:US
Practice Address - Phone:440-523-0370
Practice Address - Fax:440-524-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-30
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2663101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty