Provider Demographics
NPI:1235345786
Name:COUNSELING AND REHABILITATION, INC.
Entity Type:Organization
Organization Name:COUNSELING AND REHABILITATION, INC.
Other - Org Name:COMMUNITY SKILLS PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT AND DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNEIPP
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:610-376-3380
Mailing Address - Street 1:1150 BERKSHIRE BOULEVARD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2694
Mailing Address - Country:US
Mailing Address - Phone:610-376-3380
Mailing Address - Fax:
Practice Address - Street 1:1150 BERKSHIRE BOULEVARD
Practice Address - Street 2:SUITE 245
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2694
Practice Address - Country:US
Practice Address - Phone:610-376-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2=========2OtherOVR