Provider Demographics
NPI:1033389754
Name:SCANLON COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:SCANLON COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANIELA
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:SCANLON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, NCC,LPC
Authorized Official - Phone:814-432-2537
Mailing Address - Street 1:119 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2333
Mailing Address - Country:US
Mailing Address - Phone:814-432-2537
Mailing Address - Fax:814-432-2537
Practice Address - Street 1:119 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2333
Practice Address - Country:US
Practice Address - Phone:814-432-2537
Practice Address - Fax:814-432-2537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002722261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1844361OtherHIGHMARK