Provider Demographics
NPI:1740371806
Name:DURKALSKI, LORRAINE (LPCC)
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:DURKALSKI
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 1:2321 LORIMER RD.
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134
Mailing Address - Country:US
Mailing Address - Phone:440-526-8488
Mailing Address - Fax:216-587-8646
Practice Address - Street 1:12215 GRANGER RD.
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS.
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:440-526-8488
Practice Address - Fax:216-587-8646
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3797101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT03797OtherSUMMACARE HEALTH PLAN
OH000000315904OtherANTHEM PIN NUMBER
OH000000315904OtherUNICARE