Provider Demographics
NPI:1013060417
Name:LIFE'S JOURNEY COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:LIFE'S JOURNEY COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:PETROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:724-766-9238
Mailing Address - Street 1:617 S PIKE RD
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-9202
Mailing Address - Country:US
Mailing Address - Phone:724-766-9238
Mailing Address - Fax:724-295-9944
Practice Address - Street 1:617 S PIKE RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9202
Practice Address - Country:US
Practice Address - Phone:724-766-9238
Practice Address - Fax:724-295-9944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1446927OtherHIGHMARK
PA472813OtherVALUEOPTIONS
PA1016320780001Medicaid
PA410129OtherUPMC-COMMERCIAL