Provider Demographics
NPI:1467509745
Name:TRI VALLEY COUNSELING
Entity type:Organization
Organization Name:TRI VALLEY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHERCHIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:508-473-4984
Mailing Address - Street 1:89 MAIN STREET - SUITE 407
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2628
Mailing Address - Country:US
Mailing Address - Phone:508-473-4984
Mailing Address - Fax:508-482-7316
Practice Address - Street 1:89 MAIN STREET - SUITE 407
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2628
Practice Address - Country:US
Practice Address - Phone:508-473-4984
Practice Address - Fax:508-482-7316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty