Healthcare Provider Details

I. General information

NPI: 1982300752
Provider Name (Legal Business Name): KATHLEEN M BYLEWSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2023
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 POPLAR ST
ELYRIA OH
44035-4065
US

IV. Provider business mailing address

449 UNIVERSITY AVE
ELYRIA OH
44035-7155
US

V. Phone/Fax

Practice location:
  • Phone: 440-366-1106
  • Fax:
Mailing address:
  • Phone: 440-453-6163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2204115-TRNE
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2305521
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: