Provider Demographics
NPI:1407633142
Name:ALPHA AND OMEGA COUNSELING SERVICES
Entity Type:Organization
Organization Name:ALPHA AND OMEGA COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNAH
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:VANCE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-419-9583
Mailing Address - Street 1:701 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER ST CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2902
Mailing Address - Country:US
Mailing Address - Phone:412-419-9583
Mailing Address - Fax:
Practice Address - Street 1:701 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-2902
Practice Address - Country:US
Practice Address - Phone:412-419-9583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty