BLENDED SPIRITS RANCH NPI 1538624879

NPI Information

  • NPI: 1538624879
  • Provider Name: BLENDED SPIRITS RANCH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 7401 MCCRAY RD
    FAIRVIEW, PA
    ZIP 16415
  • Phone: (814) 449-5657

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NPI Details

BLENDED SPIRITS RANCH is a mental health counselor in Fairview, PA. BLENDED SPIRITS RANCH NPI is 1538624879. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7401 MCCRAY RD
FAIRVIEW, PA
ZIP 16415-401
Phone: (814) 449-5657

The provider's authorized official is Sandra Long .
The authorized official title is Executive Director and has the following contact phone number (814) 449-5657.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 1/31/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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