Healthcare Provider Details

I. General information

NPI: 1568595486
Provider Name (Legal Business Name): PAOLETTA COUNSELING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 10/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LIBERTY ST
FRANKLIN PA
16323-1053
US

IV. Provider business mailing address

300 LIBERTY ST
FRANKLIN PA
16323-1053
US

V. Phone/Fax

Practice location:
  • Phone: 814-437-5770
  • Fax:
Mailing address:
  • Phone: 814-437-5770
  • Fax:

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 Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAWN HANAWAY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 724-662-7202