Healthcare Provider Details

I. General information

NPI: 1174078968
Provider Name (Legal Business Name): CB COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 MONROE AVE STE 2
DUNMORE PA
18509-2497
US

IV. Provider business mailing address

1439 MONROE AVE STE 2
DUNMORE PA
18509-2497
US

V. Phone/Fax

Practice location:
  • Phone: 570-430-8204
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC003792
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CARLYN CARPER
Title or Position: OWNER
Credential:
Phone: 570-430-8204