Provider Demographics
NPI:1518712710
Name:PATRICIA O CUMMINGS THERAPY LLC
Entity Type:Organization
Organization Name:PATRICIA O CUMMINGS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/HEAD CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:O'ROURKE
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-291-8754
Mailing Address - Street 1:230 NORTHERN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9042
Mailing Address - Country:US
Mailing Address - Phone:570-291-8754
Mailing Address - Fax:
Practice Address - Street 1:230 NORTHERN BLVD STE A
Practice Address - Street 2:
Practice Address - City:SOUTH ABINGTON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18411-9042
Practice Address - Country:US
Practice Address - Phone:570-291-8754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty