Healthcare Provider Details

I. General information

NPI: 1881501997
Provider Name (Legal Business Name): THE DBT CENTER OF PENNSYLVANIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 MEETINGHOUSE LN
MEDIA PA
19063-1657
US

IV. Provider business mailing address

327 MEETINGHOUSE LN
MEDIA PA
19063-1657
US

V. Phone/Fax

Practice location:
  • Phone: 610-549-2959
  • Fax: 888-403-5245
Mailing address:
  • Phone: 610-549-2959
  • Fax: 888-403-5245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN O'BRIEN
Title or Position: OWNER
Credential: LPC, LBC-DBT
Phone: 610-549-2959