Healthcare Provider Details

I. General information

NPI: 1477484756
Provider Name (Legal Business Name): CHRISTIAN COUNSELING ASSOCIATES OF WESTERN PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SOUTHWEST DR
JONESBORO AR
72404-7282
US

IV. Provider business mailing address

101 PEMBROKE CT
GREENSBURG PA
15601-6404
US

V. Phone/Fax

Practice location:
  • Phone: 870-464-3350
  • Fax: 724-972-4627
Mailing address:
  • Phone: 870-200-9034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RICHARD HOFFMAN
Title or Position: OWNER
Credential:
Phone: 724-396-1510