Organization Name: | ELDERS COUNSELING GROUP, INC. |
NPI Number: | 1073545679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZAKIA WEST (PRESIDENT) |
Mailing Address: | 349 Meetinghouse Rd Jenkintown |
State: | PA US |
Postal Code: | 190462908 |
Phone Number: | 2158865331 |
Fax Number: | 2155765949 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PS015007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |