Provider Demographics
NPI:1598328213
Name:PGC COUNSELING, LLC
Entity Type:Organization
Organization Name:PGC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP CARBAUGH
Authorized Official - Middle Name:G
Authorized Official - Last Name:CARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:717-830-0705
Mailing Address - Street 1:2371 PHILADELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-8980
Mailing Address - Country:US
Mailing Address - Phone:717-830-0705
Mailing Address - Fax:717-446-0659
Practice Address - Street 1:2371 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-8980
Practice Address - Country:US
Practice Address - Phone:717-830-0705
Practice Address - Fax:717-446-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty