Healthcare Provider Details

I. General information

NPI: 1144151317
Provider Name (Legal Business Name): MARY KAY GIOVANETTI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3253 N BEND RD
CINCINNATI OH
45239-7610
US

IV. Provider business mailing address

3253 N BEND RD
CINCINNATI OH
45239-7610
US

V. Phone/Fax

Practice location:
  • Phone: 513-614-3492
  • Fax: 513-662-9902
Mailing address:
  • Phone: 513-614-3492
  • Fax: 513-662-9902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARY KAY GIOVANETTI, RN, LPCC
Title or Position: OWNER/COUNSELOR
Credential: LPCC
Phone: 513-614-3492