Provider Demographics
NPI:1891245593
Name:PRITCHETT BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:PRITCHETT BEHAVIORAL HEALTH
Other - Org Name:DEBRA L. SUIERVELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUIERVELD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-787-9565
Mailing Address - Street 1:142 ALWINE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3210
Mailing Address - Country:US
Mailing Address - Phone:724-420-5283
Mailing Address - Fax:724-420-5283
Practice Address - Street 1:317 YOUNG DR
Practice Address - Street 2:
Practice Address - City:APOLLO
Practice Address - State:PA
Practice Address - Zip Code:15613-9677
Practice Address - Country:US
Practice Address - Phone:724-787-9565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW018851251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management