Provider Demographics
NPI:1013047778
Name:MERCER COUNTY BEHAVIORAL HEALTH COMMISSION
Entity Type:Organization
Organization Name:MERCER COUNTY BEHAVIORAL HEALTH COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:BILLINGSLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:724-662-1550
Mailing Address - Street 1:8406 SHARON MERCER RD
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-3138
Mailing Address - Country:US
Mailing Address - Phone:724-662-1550
Mailing Address - Fax:724-662-1557
Practice Address - Street 1:8406 SHARON MERCER RD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-3138
Practice Address - Country:US
Practice Address - Phone:724-662-1550
Practice Address - Fax:724-662-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1000076770003171M00000X
PA1000076770004251B00000X
PA1000076770009251S00000X
PA1000076770006261Q00000X
PA1000076770010261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)