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ALLEGHENY MOUNTAIN COUNSELING SERVICES LLC NPI 1093125023


NPI Information

NPI: 1093125023
Provider Name: ALLEGHENY MOUNTAIN COUNSELING SERVICES, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 39D0906867

Address:
173 MAIN ST
SUITE 200
BROOKVILLE, PA
ZIP 15825
Phone: (814) 849-0019
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ALLEGHENY MOUNTAIN COUNSELING SERVICES, LLC is an adult mental health clinic center in Brookville, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ALLEGHENY MOUNTAIN COUNSELING SERVICES, LLC NPI is 1093125023. The provider is registered as an organization entity type.

The provider's business location address is:

173 MAIN ST
SUITE 200
BROOKVILLE, PA
ZIP 15825-815
Phone: (814) 849-0019
Fax: (814) 849-0033

The provider's authorized official is Raymond Hansen .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (814) 849-0019.

The CLIA number assigned to this NPI record is 39D0906867 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 7/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0855XClinic/CenterAdolescent and Children Mental Health001152PENNSYLVANIANo
2261QM0850XClinic/CenterAdult Mental Health001152PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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