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Contact Information

KIRA GRAVES ENTERPRISE LLC
24 VETERANS SQ
MEDIA, PA19063-3155
 Phone: 484-440-9020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KIRA GRAVES ENTERPRISE LLC

NPI # 1609569987
LBN Legal business name KIRA GRAVES ENTERPRISE LLC
Authorized official KIRA GRAVES - (CEP)
Entity Organization
Organization subpart 1 No
Enumeration date 06/01/2023
Last updated 06/01/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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