Healthcare Provider Details

I. General information

NPI: 1871181602
Provider Name (Legal Business Name): ABIGAIL HOBBS CDCA, QMHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2021
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26250 EUCLID AVE STE 109
EUCLID OH
44132-3602
US

IV. Provider business mailing address

1910 KENNEDY DR
WICKLIFFE OH
44092-1669
US

V. Phone/Fax

Practice location:
  • Phone: 216-480-1291
  • Fax:
Mailing address:
  • Phone: 440-231-4656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: