Provider Demographics
NPI:1821264813
Name:ALLIANCE COUNSELING CENTER
Entity Type:Organization
Organization Name:ALLIANCE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CADC, LPC
Authorized Official - Phone:610-838-2880
Mailing Address - Street 1:1422 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055
Mailing Address - Country:US
Mailing Address - Phone:610-838-2880
Mailing Address - Fax:610-838-2781
Practice Address - Street 1:1422 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055
Practice Address - Country:US
Practice Address - Phone:610-838-2880
Practice Address - Fax:610-838-2781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0894101YA0400X
PA4286101YA0400X
PAPC001550101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty