Provider Demographics
NPI:1700987898
Name:HOLY REDEEMER COUNSELING CENTER
Entity Type:Organization
Organization Name:HOLY REDEEMER COUNSELING CENTER
Other - Org Name:COUNSELING CENTER OF HOLY REDEEMER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGETTIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PSYCHOLOGIST
Authorized Official - Phone:215-914-4193
Mailing Address - Street 1:821 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006
Mailing Address - Country:US
Mailing Address - Phone:215-914-4190
Mailing Address - Fax:215-914-4197
Practice Address - Street 1:821 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 140
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006
Practice Address - Country:US
Practice Address - Phone:215-914-4190
Practice Address - Fax:215-914-4197
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLY REDEEMER HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-25
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001264530008Medicaid
390097Medicare PIN