Provider Demographics
NPI:1134851850
Name:COUNSELING COLLABORATIVE
Entity type:Organization
Organization Name:COUNSELING COLLABORATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GEMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLINO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-277-5622
Mailing Address - Street 1:2905 POINTE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-8937
Mailing Address - Country:US
Mailing Address - Phone:412-277-5622
Mailing Address - Fax:
Practice Address - Street 1:2469 EVANS CITY ROAD
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037
Practice Address - Country:US
Practice Address - Phone:412-277-5622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty