Healthcare Provider Details

I. General information

NPI: 1740158724
Provider Name (Legal Business Name): HADLEY HATTEBERG COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2639 WOOSTER RD
ROCKY RIVER OH
44116-2911
US

IV. Provider business mailing address

160 W CAMINO REAL # 1223
BOCA RATON FL
33432-5942
US

V. Phone/Fax

Practice location:
  • Phone: 216-250-2043
  • Fax:
Mailing address:
  • Phone: 216-250-2043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HADLEY HATTEBERG
Title or Position: OWNER
Credential: LPCC
Phone: 216-973-7496