Provider Demographics
NPI:1134343619
Name:NORTH STAR BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:NORTH STAR BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANCIC
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:814-678-8627
Mailing Address - Street 1:248 SENECA ST FL 3
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-1371
Mailing Address - Country:US
Mailing Address - Phone:814-678-8627
Mailing Address - Fax:814-676-1016
Practice Address - Street 1:248 SENECA ST FL 3
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-1371
Practice Address - Country:US
Practice Address - Phone:814-678-8627
Practice Address - Fax:814-676-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002577101YP2500X
PAPS005314L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty