Organization Name: | ROBERT FERAGOTTI, LPC, LLC |
NPI Number: | 1013354596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT D FERAGOTTI (PROFESSIONAL COUNSELOR) |
Mailing Address: | 162 Brickyard Rd Mars |
State: | PA US |
Postal Code: | 160463067 |
Phone Number: | 7245443350 |
Fax Number: | 7246254257 |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | PC005877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |