| Organization Name: | BERKS HYPNOSIS AND COUNSELING SERVICES LLC |
| NPI Number: | 1215203146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ADAM ARENA (PRESIDENT/OWNER) |
| Mailing Address: | 5 S Centre Ave Suite A5 Leesport |
| State: | PA US |
| Postal Code: | 195338653 |
| Phone Number: | 6109163594 |
| Fax Number: | 6109269179 |
| NPI Enumeration Date: | 03/26/2012 |
| NPI Last Update Date: | 03/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC005641 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |