Provider Demographics
NPI:1346525813
Name:VILLAGE CENTER FOR HOLISTIC THERAPY
Entity Type:Organization
Organization Name:VILLAGE CENTER FOR HOLISTIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:BARBETTI
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-455-6890
Mailing Address - Street 1:68 WABASH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-5435
Mailing Address - Country:US
Mailing Address - Phone:412-455-6890
Mailing Address - Fax:412-455-6891
Practice Address - Street 1:68 WABASH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-5435
Practice Address - Country:US
Practice Address - Phone:412-455-6890
Practice Address - Fax:412-455-6891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016902103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty