Healthcare Provider Details
I. General information
NPI: 1285248740
Provider Name (Legal Business Name): KIMBERLY VRABEL LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/02/2020
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45875 BELL SCHOOL RD STE B
EAST LIVERPOOL OH
43920-8728
US
IV. Provider business mailing address
5699 STRUTHERS RD
STRUTHERS OH
44471-2181
US
V. Phone/Fax
- Phone: 330-397-6007
- Fax: 234-254-5655
- Phone: 330-518-1745
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | E.2303909 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | C.2103277 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: