Provider Demographics
NPI:1073949277
Name:KP FEIBUS COUNSELING, LLC
Entity Type:Organization
Organization Name:KP FEIBUS COUNSELING, LLC
Other - Org Name:ABINGTON FAMILY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTANOVA-FEIBUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-319-6648
Mailing Address - Street 1:219 W GROVE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2023
Mailing Address - Country:US
Mailing Address - Phone:570-319-6648
Mailing Address - Fax:
Practice Address - Street 1:219 W GROVE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2023
Practice Address - Country:US
Practice Address - Phone:570-319-6648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health