| Doctor Name: | MRS. ELIZABETH KATHY GIMBEN |
| NPI Number: | 1760428585 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | 7204 |
| Business Practice Address: | 25111 Country Club Blvd Suite 290 North Olmsted, OH - 440705345 |
| Business Phone Number: | 4406142520 |
| Business Fax Number: | 4406142526 |
| Mailing Address: | 24800 Highpoint Rd, Suite B BEACHWOOD |
| State: | OH |
| Postal Code: | 441226041 |
| Phone Number: | 2168316611 |
| Fax Number: | 2168312726 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 11/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 7204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |