Healthcare Provider Details
I. General information
NPI: 1174889224
Provider Name (Legal Business Name): ALTERNTIVES IN COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2012
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
562 BONNIEVILLE RD
HUNTINGTON MILLS PA
18622-1010
US
IV. Provider business mailing address
562 BONNIEVILLE RD
HUNTINGTON MILLS PA
18622-1010
US
V. Phone/Fax
- Phone: 570-905-4290
- Fax: 570-864-3353
- Phone: 570-905-4290
- Fax: 570-864-3353
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 37PC00292200 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | PC002497 |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | 37LC00043100 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
STEVEN
RICHARD
SILVERSTEIN
Title or Position: PRESIDENT
Credential: LPC, LCADC
Phone: 570-905-4290