MEDICARE: MICHELLE GIEROSKY

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	I2506488	OH

General Provider Information

NPI Number	:	1649130014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE GIEROSKY

Provider Business Mailing Address
First Line	:	18780 BAGLEY RD STE 320
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3303
Country	:	US
Telephone Number	:	440-816-8200
Fax Number	:	440-816-8197

Provider Business Practice Location Address
First Line	:	18780 BAGLEY RD STE 320
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3303
Country	:	US
Telephone Number	:	440-816-8200
Fax Number	:	440-816-8197

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

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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Directions to “ MICHELLE GIEROSKY ” Practice Location

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