Provider Demographics
NPI:1043804081
Name:CONCEPTUAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:CONCEPTUAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:ALLYN
Authorized Official - Last Name:DUERRING
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:908-619-3312
Mailing Address - Street 1:25 CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-3138
Mailing Address - Country:US
Mailing Address - Phone:908-619-3312
Mailing Address - Fax:
Practice Address - Street 1:25 CREST BLVD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-3138
Practice Address - Country:US
Practice Address - Phone:908-619-3312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC010879OtherLPC