Provider Demographics
NPI:1952877334
Name:CALLAHAN COUNSELING SERVICES
Entity Type:Organization
Organization Name:CALLAHAN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, ADC S, MAC,
Authorized Official - Phone:304-886-4118
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25402-1074
Mailing Address - Country:US
Mailing Address - Phone:304-579-4455
Mailing Address - Fax:304-596-8003
Practice Address - Street 1:415 WILSON ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25402-1074
Practice Address - Country:US
Practice Address - Phone:304-579-4455
Practice Address - Fax:304-596-8003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PETER J CALLAHAN PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health