Healthcare Provider Details

I. General information

NPI: 1679052385
Provider Name (Legal Business Name): DANA GRAWE LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANA BURGHARDT LPCC-S

II. Dates (important events)

Enumeration Date: 08/13/2018
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 ALLIANCE RD STE 150
BLUE ASH OH
45242-4754
US

IV. Provider business mailing address

10200 ALLIANCE RD STE 150
BLUE ASH OH
45242-4754
US

V. Phone/Fax

Practice location:
  • Phone: 513-891-0650
  • Fax:
Mailing address:
  • Phone: 513-891-0650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2102621-SUPV
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2102621-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: