Healthcare Provider Details

I. General information

NPI: 1952865024
Provider Name (Legal Business Name): MICHAEL LEE CATANZARITO MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 LUCAS RD
MANSFIELD OH
44903-8682
US

IV. Provider business mailing address

5114 ROCKTON RD
DU BOIS PA
15801-9620
US

V. Phone/Fax

Practice location:
  • Phone: 419-589-5511
  • Fax:
Mailing address:
  • Phone: 814-661-3552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC012162
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC012162
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: