Provider Demographics
NPI:1982953220
Name:ROCKAWAY, LYUDMYLA Z (PROFESSIONAL COUNSEL)
Entity Type:Individual
Prefix:MS
First Name:LYUDMYLA
Middle Name:Z
Last Name:ROCKAWAY
Suffix:
Gender:F
Credentials:PROFESSIONAL COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4895 DRESSLER ROAD NW
Mailing Address - Street 2:STE A
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718
Mailing Address - Country:US
Mailing Address - Phone:330-493-0083
Mailing Address - Fax:
Practice Address - Street 1:4895 DRESSLER ROAD NW
Practice Address - Street 2:STE A
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718
Practice Address - Country:US
Practice Address - Phone:330-493-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1000008106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist