Healthcare Provider Details

I. General information

NPI: 1912599713
Provider Name (Legal Business Name): BRIANNA BORIOSI MA NCC CAADC LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2021
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 S MAIN AVE
SCRANTON PA
18504-2545
US

IV. Provider business mailing address

127 PIKE ST
CARBONDALE PA
18407-2788
US

V. Phone/Fax

Practice location:
  • Phone: 484-547-1101
  • Fax:
Mailing address:
  • Phone: 484-547-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016149
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: