Healthcare Provider Details

I. General information

NPI: 1760725196
Provider Name (Legal Business Name): STEVEN J FRATANTONIO LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 LANDER RD
PEPPER PIKE OH
44124-5712
US

IV. Provider business mailing address

3737 LANDER RD
PEPPER PIKE OH
44124-5712
US

V. Phone/Fax

Practice location:
  • Phone: 216-831-2255
  • Fax: 216-378-3906
Mailing address:
  • Phone: 216-831-2255
  • Fax: 216-378-3906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.1300161
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1700060
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1700060
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: