Organization Name: | FORENSIC COUNSELING ASSOCIATES, LLC |
NPI Number: | 1174951933 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL HAUPT (CO-OWNER) |
Mailing Address: | 1385 Pocono Blvd Mount Pocono |
State: | PA US |
Postal Code: | 183441678 |
Phone Number: | 5704767704 |
Fax Number: | 5704213600 |
NPI Enumeration Date: | 10/14/2013 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001023 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |