Healthcare Provider Details

I. General information

NPI: 1679378459
Provider Name (Legal Business Name): STEPHANIE H RABATIN LPCC, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SUPERIOR AVE E STE 1300
CLEVELAND OH
44114-2654
US

IV. Provider business mailing address

7762 E LINDEN LN
PARMA OH
44130-5828
US

V. Phone/Fax

Practice location:
  • Phone: 646-941-7645
  • Fax: 929-596-7897
Mailing address:
  • Phone: 440-823-9187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0007781
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS0010603
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: