Healthcare Provider Details

I. General information

NPI: 1104240407
Provider Name (Legal Business Name): CHRISTOPHER MORANDI LPCC-S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2014
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 PHILADELPHIA ST
COVINGTON KY
41011-1239
US

IV. Provider business mailing address

600 GREENUP ST
COVINGTON KY
41011-2524
US

V. Phone/Fax

Practice location:
  • Phone: 859-349-0700
  • Fax: 859-208-2600
Mailing address:
  • Phone: 859-349-0700
  • Fax: 859-208-2600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1600029
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1649
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: