Provider Demographics
NPI:1932699642
Name:BEHAVIORAL HEALTH COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING / CONTRACT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:801-562-4484
Mailing Address - Street 1:542 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1155
Mailing Address - Country:US
Mailing Address - Phone:717-446-9447
Mailing Address - Fax:
Practice Address - Street 1:375 FLORAL AVE STE 109
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-3444
Practice Address - Country:US
Practice Address - Phone:717-446-9447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty