MEDICARE: ABRA LISOWSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	S.2613915	OH

General Provider Information

NPI Number	:	1356207914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRA LISOWSKI

Provider Business Mailing Address
First Line	:	2965 YORKSHIRE RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9810 RAVENNA RD STE 1
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-1761
Country	:	US
Telephone Number	:	330-331-2188
Fax Number	:	330-331-2188

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	05/27/2026

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Directions to “ ABRA LISOWSKI ” Practice Location

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