Provider Demographics
NPI:1265769764
Name:BETHLEHEM COUNSELING CENTER & CHRISTIAN THERAPY ASSOCIATES LLC
Entity type:Organization
Organization Name:BETHLEHEM COUNSELING CENTER & CHRISTIAN THERAPY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRAO BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MED
Authorized Official - Phone:610-867-8657
Mailing Address - Street 1:702 BROOKFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-1155
Mailing Address - Country:US
Mailing Address - Phone:610-442-0939
Mailing Address - Fax:
Practice Address - Street 1:35 E ELIZABETH AVE STE 21
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6505
Practice Address - Country:US
Practice Address - Phone:610-867-8657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 004101101YP2500X
PACW0158961041C0700X
PASW 124043104100000X
PAPS-006638-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty