Provider Demographics
NPI:1275562050
Name:TEAM COUNSELING CONCEPTS, INC
Entity Type:Organization
Organization Name:TEAM COUNSELING CONCEPTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:BEHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:610-395-6322
Mailing Address - Street 1:4912 SHANKWEILER RD
Mailing Address - Street 2:
Mailing Address - City:OREFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:18069-2305
Mailing Address - Country:US
Mailing Address - Phone:610-395-6322
Mailing Address - Fax:610-398-9880
Practice Address - Street 1:4912 SHANKWEILER RD
Practice Address - Street 2:
Practice Address - City:OREFIELD
Practice Address - State:PA
Practice Address - Zip Code:18069-2305
Practice Address - Country:US
Practice Address - Phone:610-395-6322
Practice Address - Fax:610-398-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS06771L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty