Organization Name: | WILLIAM R. AINSWORTH PROFESSIONAL COUNSELING SERVICES LLC |
NPI Number: | 1306019781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM R. AINSWORTH (PRESIDENT) |
Mailing Address: | 164 S Main St Slippery Rock |
State: | PA US |
Postal Code: | 160571245 |
Phone Number: | 7247941404 |
Fax Number: | 7247941404 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 11/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2436 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |