Healthcare Provider Details

I. General information

NPI: 1013918390
Provider Name (Legal Business Name): CHRISTA J. BRAHLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 BRECKENRIDGE ST
GROVE CITY PA
16127-1003
US

IV. Provider business mailing address

107 BRECKENRIDGE ST
GROVE CITY PA
16127-1003
US

V. Phone/Fax

Practice location:
  • Phone: 724-458-4330
  • Fax: 724-458-4550
Mailing address:
  • Phone: 724-458-4330
  • Fax: 724-458-4550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC002590
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: