Provider Demographics
NPI:1457625220
Name:AMY MCGINNIS BEHAVIORAL CONSULTING, INC.
Entity Type:Organization
Organization Name:AMY MCGINNIS BEHAVIORAL CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-431-3374
Mailing Address - Street 1:PO BOX 26580
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-0580
Mailing Address - Country:US
Mailing Address - Phone:215-431-3374
Mailing Address - Fax:866-950-2732
Practice Address - Street 1:41 S GRANGE AVE
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3346
Practice Address - Country:US
Practice Address - Phone:215-431-3374
Practice Address - Fax:866-950-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010741251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health