Provider Demographics
NPI:1952473837
Name:H.S.A. COUNSELING, INC.
Entity Type:Organization
Organization Name:H.S.A. COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SHAWN
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:BA
Authorized Official - Phone:717-394-5334
Mailing Address - Street 1:PO BOX M
Mailing Address - Street 2:
Mailing Address - City:MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17058-0913
Mailing Address - Country:US
Mailing Address - Phone:717-394-5334
Mailing Address - Fax:717-436-9818
Practice Address - Street 1:321 NORTH MARKET STREET
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3816
Practice Address - Country:US
Practice Address - Phone:717-394-5334
Practice Address - Fax:717-394-8747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA367021251S00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007743280006Medicaid
PA1007743280005Medicaid
PA1007743280008Medicaid