Provider Demographics
NPI:1376428516
Name:CARDINAL DOVE COUNSELING
Entity type:Organization
Organization Name:CARDINAL DOVE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBLENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-350-1031
Mailing Address - Street 1:41 AUTUMN BLAZE WAY
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-2730
Mailing Address - Country:US
Mailing Address - Phone:610-350-1031
Mailing Address - Fax:
Practice Address - Street 1:1656 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1103
Practice Address - Country:US
Practice Address - Phone:717-299-7638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)