Provider Demographics
NPI:1760995724
Name:UBUNTU COUNSELING CENTER
Entity Type:Organization
Organization Name:UBUNTU COUNSELING CENTER
Other - Org Name:UBUNTU COUNSELING CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WAGANESH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:412-756-3344
Mailing Address - Street 1:4311 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-5315
Mailing Address - Country:US
Mailing Address - Phone:406-274-2671
Mailing Address - Fax:
Practice Address - Street 1:744 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW KENSINGTON
Practice Address - State:PA
Practice Address - Zip Code:15068-6302
Practice Address - Country:US
Practice Address - Phone:412-754-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009238261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)