Provider Demographics
NPI:1477857555
Name:CHRISTIAN COUNSELING CENTER OF BUCKS COUNTY
Entity Type:Organization
Organization Name:CHRISTIAN COUNSELING CENTER OF BUCKS COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROMANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-387-2455
Mailing Address - Street 1:530 W BUTLER AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3209
Mailing Address - Country:US
Mailing Address - Phone:215-716-2084
Mailing Address - Fax:
Practice Address - Street 1:530 W BUTLER AVE STE 109
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3209
Practice Address - Country:US
Practice Address - Phone:215-716-2084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty