Provider Demographics
NPI:1407911274
Name:BEHAVIORAL HEALTHCARE CONSULTANTS
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTHCARE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHEAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-581-5255
Mailing Address - Street 1:6 W NEWPORT RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7774
Mailing Address - Country:US
Mailing Address - Phone:717-581-5255
Mailing Address - Fax:717-581-5259
Practice Address - Street 1:6 W NEWPORT RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7774
Practice Address - Country:US
Practice Address - Phone:717-627-2190
Practice Address - Fax:717-627-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
757848Medicare ID - Type Unspecified