Provider Demographics
NPI:1740420272
Name:KEVIN MCCARTHY COUNSELING SERVICES
Entity Type:Organization
Organization Name:KEVIN MCCARTHY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:CAC
Authorized Official - Phone:717-860-0261
Mailing Address - Street 1:22438 GREAT COVE RD
Mailing Address - Street 2:
Mailing Address - City:MC CONNELLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17233-8367
Mailing Address - Country:US
Mailing Address - Phone:717-869-9261
Mailing Address - Fax:717-485-4505
Practice Address - Street 1:22438 GREAT COVE RD
Practice Address - Street 2:
Practice Address - City:MC CONNELLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17233-8367
Practice Address - Country:US
Practice Address - Phone:717-869-9261
Practice Address - Fax:717-485-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA297050251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health