Provider Demographics
NPI:1942480504
Name:BERGER COUNSELING AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:BERGER COUNSELING AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-630-9851
Mailing Address - Street 1:162 GAS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15043-1058
Mailing Address - Country:US
Mailing Address - Phone:724-630-9851
Mailing Address - Fax:
Practice Address - Street 1:697 STATE AVE
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-9502
Practice Address - Country:US
Practice Address - Phone:724-630-9851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003529101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty