Provider Demographics
NPI:1356104202
Name:BETANCOURT COUNSELING LLC
Entity type:Organization
Organization Name:BETANCOURT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:BETANCOURT
Authorized Official - Suffix:III
Authorized Official - Credentials:MS
Authorized Official - Phone:717-503-0316
Mailing Address - Street 1:2366 GOLDEN MILE HWY # 191
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2710
Mailing Address - Country:US
Mailing Address - Phone:717-503-0316
Mailing Address - Fax:
Practice Address - Street 1:8095 SALTSBURG RD STE 206
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1925
Practice Address - Country:US
Practice Address - Phone:171-750-3031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty