Provider Demographics
NPI:1801288261
Name:ADULT BEHAVIORAL SERVICES LLC
Entity type:Organization
Organization Name:ADULT BEHAVIORAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:724-843-4647
Mailing Address - Street 1:717 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4479
Mailing Address - Country:US
Mailing Address - Phone:724-843-4647
Mailing Address - Fax:724-843-8033
Practice Address - Street 1:717 12TH ST
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4479
Practice Address - Country:US
Practice Address - Phone:724-843-4647
Practice Address - Fax:724-843-8033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty