Provider Demographics
NPI:1467828038
Name:PISHNER COUNSELING LLC
Entity Type:Organization
Organization Name:PISHNER COUNSELING LLC
Other - Org Name:APEX COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:PISHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CT
Authorized Official - Phone:304-228-5769
Mailing Address - Street 1:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:DELLSLOW
Mailing Address - State:WV
Mailing Address - Zip Code:26531-0434
Mailing Address - Country:US
Mailing Address - Phone:304-685-4103
Mailing Address - Fax:
Practice Address - Street 1:160 FAYETTE ST
Practice Address - Street 2:SUITE 206
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-5584
Practice Address - Country:US
Practice Address - Phone:304-685-4103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2059251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health