Healthcare Provider Details

I. General information

NPI: 1932424082
Provider Name (Legal Business Name): PEOPLE IN NEED - LAWRENCE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 W STATE ST
NEW CASTLE PA
16101-8671
US

IV. Provider business mailing address

2703 W STATE ST
NEW CASTLE PA
16101-8671
US

V. Phone/Fax

Practice location:
  • Phone: 724-657-3303
  • Fax: 724-657-3326
Mailing address:
  • Phone: 724-657-3303
  • Fax: 724-657-3326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number400930
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number400930
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number400930
License Number StatePA

VIII. Authorized Official

Name: SHARON HODGE
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 724-657-3303