Healthcare Provider Details
I. General information
NPI: 1730899113
Provider Name (Legal Business Name): CHILZER COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/28/2022
Last Update Date: 08/13/2024
Certification Date: 08/05/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 OLD MONONGAHELA PIKE SUITE 6
EIGHTY FOUR PA
15330-3539
US
IV. Provider business mailing address
PO BOX 791
CARNEGIE PA
15106-0791
US
V. Phone/Fax
- Phone: 724-395-2233
- Fax:
- Phone: 412-655-4362
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KRISTYN
BILLINGS
Title or Position: CREDENTIALING
Credential:
Phone: 412-655-4362