Healthcare Provider Details

I. General information

NPI: 1063441962
Provider Name (Legal Business Name): FAIRVIEW COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 PERKIOMEN AVE
READING PA
19602-1337
US

IV. Provider business mailing address

PO BOX 13614
READING PA
19612-3614
US

V. Phone/Fax

Practice location:
  • Phone: 610-396-9091
  • Fax: 610-396-9092
Mailing address:
  • Phone: 610-396-9091
  • Fax: 610-396-9092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: IRENE REBER
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 610-396-9091