Provider Demographics
NPI:1174298244
Name:SWITCH MENTAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SWITCH MENTAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, LPC
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-713-1840
Mailing Address - Street 1:525 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:WINDBER
Mailing Address - State:PA
Mailing Address - Zip Code:15963-1230
Mailing Address - Country:US
Mailing Address - Phone:814-270-0354
Mailing Address - Fax:
Practice Address - Street 1:903 OLD SCALP AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1763
Practice Address - Country:US
Practice Address - Phone:814-713-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health