Provider Demographics
NPI:1265247571
Name:KATIE GRAZIANO LLC
Entity type:Organization
Organization Name:KATIE GRAZIANO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAZIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-560-4911
Mailing Address - Street 1:224 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-5424
Mailing Address - Country:US
Mailing Address - Phone:484-560-4911
Mailing Address - Fax:
Practice Address - Street 1:712 LINDEN ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18510-2440
Practice Address - Country:US
Practice Address - Phone:610-628-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty