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General NPI Number Information
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NPI Number | 1780291062
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Entity Type | Organization
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Legal Business Name | GRASTA COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 321 BIDEN ST STE 502
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City | SCRANTON
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State | PA
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Zip | 18503-1445
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Country | US
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Telephone | 570-209-8946
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Fax | 570-276-3797
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Provider Business Mailing Address
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Address Line | 321 BIDEN ST STE 502
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City | SCRANTON
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State | PA
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Zip | 18503-1445
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Country | US
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Telephone | 570-209-8946
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Fax | 570-276-3797
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Authorized Official
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Title or Position | COUNSELOR
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Name | DR. MARGARET M MAHONEY
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Credential | LPC
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Telephone | 320-300-4811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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