Provider Demographics
NPI:1992370100
Name:HEART AND SOUL COUNSELING AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:HEART AND SOUL COUNSELING AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-806-5264
Mailing Address - Street 1:250 COMMONS DR. #322, SMB 7453
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-3808
Mailing Address - Country:US
Mailing Address - Phone:814-806-5624
Mailing Address - Fax:
Practice Address - Street 1:250 COMMONS DR # 322
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3808
Practice Address - Country:US
Practice Address - Phone:814-806-5624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty