Provider Demographics
NPI:1730489568
Name:COMPREHENSIVE COUSELING, LLP
Entity Type:Organization
Organization Name:COMPREHENSIVE COUSELING, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:KANOTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:724-225-3444
Mailing Address - Street 1:87 E MAIDEN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4964
Mailing Address - Country:US
Mailing Address - Phone:724-225-3444
Mailing Address - Fax:724-222-2189
Practice Address - Street 1:87 E MAIDEN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4964
Practice Address - Country:US
Practice Address - Phone:724-225-3444
Practice Address - Fax:724-222-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC005600OtherLICENSED PROFESSIONAL COUNSELOR