Healthcare Provider Details

I. General information

NPI: 1992294466
Provider Name (Legal Business Name): BET. EL COUNSELING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 RIDGE AVE
ALLENTOWN PA
18102-5117
US

IV. Provider business mailing address

PO BOX 4240
ALLENTOWN PA
18105-4240
US

V. Phone/Fax

Practice location:
  • Phone: 484-221-9270
  • Fax: 888-416-1801
Mailing address:
  • Phone: 484-926-4640
  • Fax: 888-416-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LISA DUARTE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 484-926-4640