Provider Demographics
NPI:1508640665
Name:REAL TALK COUNSELING
Entity Type:Organization
Organization Name:REAL TALK COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:AGOSTONI II
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-302-7170
Mailing Address - Street 1:134 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW EAGLE
Mailing Address - State:PA
Mailing Address - Zip Code:15067-1148
Mailing Address - Country:US
Mailing Address - Phone:412-302-7170
Mailing Address - Fax:
Practice Address - Street 1:134 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW EAGLE
Practice Address - State:PA
Practice Address - Zip Code:15067-1148
Practice Address - Country:US
Practice Address - Phone:412-302-7170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)