Healthcare Provider Details

I. General information

NPI: 1346723178
Provider Name (Legal Business Name): DEATON & DEATON COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2018
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NEW HAVEN PATH APT 2
GEORGETOWN KY
40324-2667
US

IV. Provider business mailing address

100 NEW HAVEN PATH APT 2
GEORGETOWN KY
40324-2667
US

V. Phone/Fax

Practice location:
  • Phone: 859-421-3788
  • Fax:
Mailing address:
  • Phone: 859-421-3788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH VICTORIA GRIVETTI
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 859-421-3788