Provider Demographics
NPI:1801597216
Name:UNGLAUB COUNSELING LLC
Entity type:Organization
Organization Name:UNGLAUB COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:UNGLAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-552-8892
Mailing Address - Street 1:11110 CENTER HWY STE 6
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2084
Mailing Address - Country:US
Mailing Address - Phone:724-552-8892
Mailing Address - Fax:
Practice Address - Street 1:11110 CENTER HWY STE 6
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-2084
Practice Address - Country:US
Practice Address - Phone:412-655-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC012906OtherSTATE LICENSE