Provider Demographics
NPI:1881850337
Name:COUNSELINGWORKS P A
Entity Type:Organization
Organization Name:COUNSELINGWORKS P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUEGG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-967-3320
Mailing Address - Street 1:6710 EMBASSY BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-7754
Mailing Address - Country:US
Mailing Address - Phone:727-967-3320
Mailing Address - Fax:727-848-4795
Practice Address - Street 1:6710 EMBASSY BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-7754
Practice Address - Country:US
Practice Address - Phone:727-967-3320
Practice Address - Fax:727-848-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL47321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Z8105Medicare UPIN