Provider Demographics
NPI:1497050041
Name:PENNSYLVANIA COMPREHENSIVE COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:PENNSYLVANIA COMPREHENSIVE COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CERTIFIED COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PALLEH
Authorized Official - Middle Name:ORITHA
Authorized Official - Last Name:WREH-TOE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:717-542-3545
Mailing Address - Street 1:3401 MERLOT CT
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-8617
Mailing Address - Country:US
Mailing Address - Phone:717-542-3545
Mailing Address - Fax:717-751-2436
Practice Address - Street 1:3401 MERLOT CT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-8617
Practice Address - Country:US
Practice Address - Phone:717-542-3545
Practice Address - Fax:717-751-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIACCP0038251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAIACCP0038Medicare Oscar/Certification