Healthcare Provider Details

I. General information

NPI: 1407760010
Provider Name (Legal Business Name): BLUE SKY COUNSELING & CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 DAWNWOOD DR
PARMA OH
44134-3262
US

IV. Provider business mailing address

46 SHOPPING PLZ # 1017
CHAGRIN FALLS OH
44022-3022
US

V. Phone/Fax

Practice location:
  • Phone: 216-770-5662
  • Fax:
Mailing address:
  • Phone: 216-770-5662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: PAIGE ROBERTSON
Title or Position: CO-OWNER/THERAPIST
Credential: MA, LPCC-S
Phone: 216-770-5662