Provider Demographics
NPI:1295337707
Name:KELLY LAMBIE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:KELLY LAMBIE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-433-4986
Mailing Address - Street 1:296 LANCEWOOD PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5908
Mailing Address - Country:US
Mailing Address - Phone:724-433-4986
Mailing Address - Fax:724-497-3222
Practice Address - Street 1:296 LANCEWOOD PL
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5908
Practice Address - Country:US
Practice Address - Phone:724-433-4986
Practice Address - Fax:724-497-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty