Provider Demographics
NPI:1073856613
Name:MERCY HOUSE OF MEADVILLE, INC
Entity Type:Organization
Organization Name:MERCY HOUSE OF MEADVILLE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:KIGHTLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CADC
Authorized Official - Phone:814-337-6180
Mailing Address - Street 1:13180 LESLIE RD
Mailing Address - Street 2:2
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-8478
Mailing Address - Country:US
Mailing Address - Phone:814-337-6180
Mailing Address - Fax:814-724-7681
Practice Address - Street 1:13180 LESLIE RD
Practice Address - Street 2:2
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-8478
Practice Address - Country:US
Practice Address - Phone:814-337-6180
Practice Address - Fax:814-724-7681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty