Provider Demographics
NPI:1639865710
Name:KATHERINE DURRANT LCSW PLLC
Entity Type:Organization
Organization Name:KATHERINE DURRANT LCSW PLLC
Other - Org Name:WHOLE WELLNESS COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DURRANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:607-793-4260
Mailing Address - Street 1:16 CINEMA DR APT 119
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1665
Mailing Address - Country:US
Mailing Address - Phone:607-793-7555
Mailing Address - Fax:
Practice Address - Street 1:16 CINEMA DR APT 119
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1665
Practice Address - Country:US
Practice Address - Phone:607-793-4260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty