Organization Name: | VISION COUNSELING SERVICES,LLC |
NPI Number: | 1083998934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL CLARENCE JOHNSTON (PROGRAM DIRECTOR) |
Mailing Address: | 1843 Route 209 Safeway Storage Complex Brodheadsville |
State: | PA US |
Postal Code: | 183227134 |
Phone Number: | 5708017373 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TP2701X |
License Number: | PC005541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Group Psychotherapy |
Taxonomy Definition: |