Provider Demographics
NPI:1790560191
Name:OPEN REINS THERAPY
Entity Type:Organization
Organization Name:OPEN REINS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS, LPC
Authorized Official - Prefix:
Authorized Official - First Name:NIKITA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISHKORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-657-4325
Mailing Address - Street 1:102 W GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-2544
Mailing Address - Country:US
Mailing Address - Phone:724-657-4325
Mailing Address - Fax:
Practice Address - Street 1:2616 WILMINGTON RD STE E
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1504
Practice Address - Country:US
Practice Address - Phone:724-657-4325
Practice Address - Fax:724-845-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty