MEDICARE: ASSOCIATES IN BEHAVIORAL DIAGNOSTICS AND TREATMENT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1568731867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN BEHAVIORAL DIAGNOSTICS AND TREATMENT, LLC

Provider Business Mailing Address
First Line	:	1150 THORN RUN RD STE 110
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3102
Country	:	US
Telephone Number	:	412-329-7778
Fax Number	:	412-262-1555

Provider Business Practice Location Address
First Line	:	1150 THORN RUN RD STE 110
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-3102
Country	:	US
Telephone Number	:	412-329-7778
Fax Number	:	412-262-1555

Authorized Official
Title or Position	:	PSYCHOLOGIST/OWNER
Name	:	DR. AMANDA L PELPHREY
Credential	:	PSY.D
Telephone Number	:	412-329-7778

Provider Enumeration Date	:	12/16/2011
Last Update Date	:	04/24/2024

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1407871403 — MRS. JENNIFER KRAMER LUKOWSKI MA, LPC, NCC
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1150 THORN RUN RD STE 110
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1659649911 — ASSOCIATES IN BEHAVIORAL DIAGNOSTICS AND TREATMENT, LLC
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1043561202 — DR. BRYSON BRESNAHAN PH.D.
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MOON TWP, PA
15108-3102

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1972844124 — MEGHAN HUERBIN LPC
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1447633797 — RACHEL A. SCHOENBERGER LPC
Practice Location Address:

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Practice Fax:

1194278465 — MARY KATLYN MILLER LPC, NCC
Practice Location Address:

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Practice Fax:

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