Healthcare Provider Details

I. General information

NPI: 1205743184
Provider Name (Legal Business Name): ABIDING IN THE VINE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 PUBLIC SQ
BRECKSVILLE OH
44141-1801
US

IV. Provider business mailing address

19 PUBLIC SQ
BRECKSVILLE OH
44141-1801
US

V. Phone/Fax

Practice location:
  • Phone: 440-340-3538
  • Fax: 440-717-9595
Mailing address:
  • Phone: 440-340-3538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARLY GRABOWSKI
Title or Position: OWNER
Credential:
Phone: 440-340-3538