| Granato Counseling Services | |
|
1360 Beverly Rd. Suite 200 Mclean VA 22101 | |
| (703) 831-8300 | |
| (703) 636-1300 |
| Full Name | Granato Counseling Services |
|---|---|
| Speciality | Psychologist |
| Location | 1360 Beverly Rd. Suite 200, Mclean, Virginia |
| Authorized Official Name and Position | Laura A. Granato (PRESIDENT) |
| Authorized Official Contact | 7038318300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Granato Counseling Services 1360 Beverly Rd. Suite 200 Mclean VA 22101 Ph: (703) 831-8300 | Granato Counseling Services 1360 Beverly Rd. Suite 200 Mclean VA 22101 Ph: (703) 831-8300 |
| NPI Number | 1497810816 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 03/29/2020 |
| Certification Date | 03/29/2020 |
| Medicare PECOS PAC ID | 0244286524 |
|---|---|
| Medicare Enrollment ID | O20050330000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497810816 | NPI | - | NPPES |
| S297 | Other | VA | BLUE CROSS BLUE SHIELD |
| 103501 | Other | VA | ANTHEM |
| Provider Name | Katie Sinclair Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851812226 PECOS PAC ID: 8820422215 Enrollment ID: I20200511000311 |
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