Organization Name: | TRADEWINDS COUNSELING SERVICES, LLC |
NPI Number: | 1023489325 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEGAN A CHONG (OWNER) |
Mailing Address: | 124 Meadville St Edinboro |
State: | PA US |
Postal Code: | 164122502 |
Phone Number: | 8142402955 |
Fax Number: | 8667649624 |
NPI Enumeration Date: | 10/13/2015 |
NPI Last Update Date: | 11/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC006915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |